Organization
SMARTWOMAN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KETCHESON CNP (OWNE/PRACTITIONER)
(505) 989-1704
Entity
Organization
Contact information
Practice address
130 SIRINGO ROAD, SUITE 201, SANTA FE, NM 87505-5864
(505) 989-1704
Mailing address
130 SIRINGO RD STE 201, SANTA FE, NM 87505-5864
(505) 989-1704
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R14892
NM
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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