Individual
RUTH THELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
(505) 994-0209
Mailing address
1422 PASEO DE PERALTA, SANTA FE, NM 87501-4391
(505) 982-5565
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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