Individual
KACI PAINTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 SUDDERTH DR, RUIDOSO, NM 88345-6119
(575) 257-2368
Mailing address
2002 SUDDERTH DR, RUIDOSO, NM 88345-6119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73833
NM
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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