Individual
AMARIS KEETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
323 S 5TH ST, CLAYTON, NM 88415-2641
(806) 626-5258
Mailing address
PO BOX 134, CLAYTON, NM 88415-0134
(806) 626-5258
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
56188
NM
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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