Individual
MRS. REGINA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
721 E HOLLY ST, SUITE B, DEMING, NM 88030-5245
(575) 546-6010
(575) 546-4099
Mailing address
721 E HOLLY ST, SUITE B, DEMING, NM 88030-5245
(575) 546-6010
(575) 546-4099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2014-0078
NM
Other
Enumeration date
12/04/2014
Last updated
06/19/2015
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