Most Relevant Information
Provider Data
NPI Number: | 1003338948 |
Provider Name: | KATHLEEN GRIEGO |
Entity Type: | Individual |
Taxonomy Code: | 374U00000X |
Specialty: | Home Health Aide |
License Number: |
Most Important Dates
Enumeration Date: | 07/12/2017 |
Last Updated: | 07/21/2022 |
Provider Practice Location
411 ST. MICHAELS DRIVE
SUITE #3
SANTA FE
NM
87505
Practice Location Phone/Fax
Phone: | 5059139035 |
Fax: |
Provider Mailing Location
411 SAINT MICHAELS DR STE 3
SANTA FE
NM
875057655
Provider Mailing Phone/Fax
Phone: | 5059139035 |
Fax: |