Nathan Ketchum
NPI #1346664307 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1346664307
- Entity Type
- Individual
- Name
- Nathan Ketchum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Feb 11, 2014
- Last Updated
- Feb 11, 2014
Practice Location
- Address
- 580 CASPER RD SE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-3459
- Phone
- (505) 573-7512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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