Individual
SUSAN RAE EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2422 EAST HWY 333, MORIARTY, NM 87035
(505) 832-6827
Mailing address
PO BOX 2000, MORIARTY, NM 87035-2000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R36016
NM
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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