Search › New Mexico › 101YA0400X
Holly Rae, LADAC
NPI 1114165594 · on the registry since 2009 · sole proprietor
Practice
- Address
- 413 Sipapu Road
Taos, NM 87571 - Phone
- (575) 758-5857
- Fax
- (575) 758-2832
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico