Individual
BETTY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BMS
Contact information
Practice address
206 PORR DR, RUIDOSO, NM 88345
(575) 630-0574
Mailing address
PO BOX 28220, SANTA FE, NM 87592
(505) 471-5006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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