Individual
KATHLEEN A VUKONICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SOUTHWELL MOUNTAIN DR, RATON, NM 87740-3864
(575) 445-5615
Mailing address
PO BOX 57, RATON, NM 87740-0057
(575) 445-5615
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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