Individual
RACHEL GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-5860
Mailing address
413 SIPAPU ST, TAOS, NM 87571-6489
(575) 758-5857
(575) 758-5860
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R43260
NM
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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