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MRS. KEZIA ELIZABETH TATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3630 LAS ESTANCIAS DR SW, OBSTETRICS AND GYNECOLOGY, ALBUQUERQUE, NM 87121-5504
(505) 462-7777
(505) 462-7726
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(917) 530-3041

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
915
NM

Other

Enumeration date
04/18/2025
Last updated
08/12/2025
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