Individual
VANLIN CHAN BOTWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
125 W WATER ST, SANTA FE, NM 87501-2136
(505) 982-2020
Mailing address
125 W WATER ST, SANTA FE, NM 87501-2136
(505) 982-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
658
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87955822
—
NM
01
—
P01284318
RAILROAD MEDICARE
NM
Enumeration date
09/12/2013
Last updated
12/31/2024
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