Individual
LUZ DE OVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313
Mailing address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R26293
NM
Other
Enumeration date
11/25/2014
Last updated
09/11/2023
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