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Karen Brack
Student in an Organized Health Care Education/Training Program in Portales, New Mexico
NPI 1457022139

Karen Brack is a Student in an Organized Health Care Education/Training Program based in Portales, NM. Karen Brack practices in Portales, NM. The NPI Number for Karen Brack is 1457022139 and holds a License No. (New Mexico).

The current practice location address for Karen Brack is 1500 S Ave K Station 3, Shroc, Portales, NM and can be reached out via phone at 575-562-2160.

Location: 1500 S Ave K Station 3, Shroc, Portales, NM, 88130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457022139
Provider Name
Karen Brack
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 S Ave K Station 3, Shroc, Portales, NM, 88130
Phone Number
575-562-2160
Fax Number
Provider Enumeration Date
09/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Ave K Station 3, Shroc
City
Portales
State
New Mexico
Zip
88130
Phone Number
575-562-2160
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Ave K Station 3, Shroc
City
Portales
State
New Mexico
Zip
88130
Phone Number
575-562-2160
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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