SearchNew Mexico163W00000X

Kathryn Perea

NPI 1396295606 · on the registry since 2016 · sole proprietor

Practice

Address
1044 Balboa Ct Se
Los Lunas, NM 87031
Phone
(505) 966-1306
Fax
(505) 966-1350

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
2016-10-11

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