Search › New Mexico › 103TB0200X
Anna Fedotova
NPI 1821306424 · on the registry since 2010
Practice
- Address
- 2050 A Second Street Se
Kirtland Afb, NM 87117 - Phone
- (505) 846-3305
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Also registered as
- 103T00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-02
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