Individual
MARTHA CAROL ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
188 MIRANDA CANYON ROAD, RANCHOS DE TAOS, NM 87557
(575) 751-7430
Mailing address
PO BOX 1671, RANCHOS DE TAOS, NM 87557-1671
(575) 751-7430
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
96368R
NM
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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