Individual
MS. COLLEEN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9 SALAS LN, SANTA FE, NM 87505-9558
(505) 989-9272
Mailing address
9 SALAS LN, SANTA FE, NM 87505-9558
(505) 989-9272
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6923
NM
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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