Search › New Mexico › 163W00000X
Serena Waller
NPI 1316427081 · on the registry since 2018 · sole proprietor
Practice
- Address
- 112 Meadow Lake Rd
Los Lunas, NM 87031 - Phone
- (505) 865-9652
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-21
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