Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2017-11-21
- Last updated
- 2017-11-21
Specialties
Licenses
- License NM
- R28287
Location
- Practice location
- 262 SOUTH 9TH STREET, ELEMENTARY SCHOOL BUILDING
- City
- FORT SUMNER NM
- Postal code
- 881199316
- Phone
- 575-355-7716
Organization contact
- Name
- MARIE DICKERMAN
- Title
- School Nurse
- Phone
- 5753557766
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.