Individual
RYLIE BROOKE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W LAS CRUCES AVE, LAS CRUCES, NM 88005-1804
(575) 222-2922
Mailing address
210 W LAS CRUCES AVE, LAS CRUCES, NM 88005-1804
(575) 222-2922
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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