Individual
MS. KATHERINE PAYTON BLICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2108 INEZ DR NE, ALBUQUERQUE, NM 87110-4825
(505) 450-9395
(505) 291-2656
Mailing address
2108 INEZ DR NE, ALBUQUERQUE, NM 87110-4825
(505) 450-9395
(505) 291-2656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
034
NM
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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