Kathleen Martina Madrid L. M.T. #505

NPI 1174678817 - Specialist - 174400000X

NPI Details
NPI 1174678817
Gender Female
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1167A HIGHWAY 554
EL RITO NM, 87530-0805, US
Phone (505) 581-0033
Fax (505) 581-0034
Business Location
PO BOX 414
OJO CALIENTE NM, 87549-0414, US
Phone (505) 747-9798
Fax (505) 747-9798
Taxonomy Code 174400000X
License State New Mexico
License Number L.M.T. #505
Remove 1174678817 NPI Number

According to our database, Ms. Kathleen Martina Madrid L. M.T. #505 NPI is 1174678817, taxonomy code is 174400000X and license number is L.M.T. #505, license state is located at New Mexico. Kathleen Martina Madrid L. M.T. #505 physically located at 1167a Highway 554, El Rito NM, 87530-0805. NPI Number Kathleen Martina Madrid L. M.T. #505 has the Individual type.

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1174678817 NPI number is provided on an as is basis without warranty of any kind. 1174678817 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Martina Madrid L. M.T. #505 are for informational purposes only.