Individual
ERIN BONHAM RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4200 BECKNER RD, SANTA FE, NM 87507-3774
(505) 477-2200
Mailing address
4200 BECKNER RD, SANTA FE, NM 87507-3774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2014-0055
NM
Other
Enumeration date
09/22/2014
Last updated
05/28/2025
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