Individual
CHRISTINE J PERKOWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
TAOS WHOLE HEALTH INTEGRATIVE CARE, 1331 MAESTAS RD, TAOS, NM 87571-6268
(575) 776-7806
(575) 224-3348
Mailing address
1331 MAESTAS RD, TAOS, NM 87571-6268
(575) 776-7806
(575) 224-3348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
90-PA17
NM
363A00000X
Physician Assistant
90PA17
NM
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094714
—
NM
Enumeration date
01/24/2006
Last updated
07/25/2023
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