Individual
VICKI WALTRIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9 RICHMOND RD, DEXTER, NM 88230-9520
(575) 910-1750
Mailing address
9 RICHMOND RD, DEXTER, NM 88230-9520
(575) 910-1750
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
R52594
NM
Other
Enumeration date
08/22/2023
Last updated
08/28/2023
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