Individual
LYDIA GRACE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3361
Mailing address
6 MONTE ENEBRO, SANTA FE, NM 87506-2784
(307) 380-6276
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
872
NM
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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