Individual
SARA JEAN MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
208 D L INGRAM AVE W, CANNON AFB, NM 88103-5103
(575) 265-2411
(575) 784-6329
Mailing address
208 D L INGRAM AVE W, CANNON AFB, NM 88103-5103
(575) 784-6329
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
30237
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2016
Last updated
04/30/2018
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