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Individual

MR. KAM RALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, APRN, FNP-C

Contact information

Practice address
1960 N DATE ST, TRUTH OR CONSEQUENCES, NM 87901-3701
(575) 894-7662
(575) 894-7930
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80598
NM

Other

Enumeration date
08/27/2024
Last updated
12/09/2025
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