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Individual

HEATHER JANE RISCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
1245 W ETHEL AVE, LAS CRUCES, NM 88005-1905
(575) 523-4307
Mailing address
1245 W ETHEL AVE, LAS CRUCES, NM 88005-1905
(575) 523-4307

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
02434-R
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
61987832
NM
Enumeration date
10/17/2007
Last updated
10/17/2007
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