Individual
ANGELA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 ALTO VISTA DR, SUNLAND PARK, NM 88063-9116
(575) 589-1110
Mailing address
PO DRAWER 70, ANTHONY, NM 88021
(575) 882-6101
(575) 882-6926
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
920301
TX
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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