Individual
JULIE KAY NOWOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT, AEC
Contact information
Practice address
33 STILLWATER DR, MORIARTY, NM 87035-5203
(505) 832-4286
Mailing address
33 STILLWATER DR, MORIARTY, NM 87035-5203
(505) 832-4286
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
2301
NM
2279E1000X
Educational Registered Respiratory Therapist
3227
NM
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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