Individual
NATASHA ANN SNAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 A K-2 BUFFALO TRAIL ROAD, PENASCO, NM 87553
(575) 770-3693
Mailing address
PO BOX 127, PENASCO, NM 87553-0127
(575) 770-3693
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NJ
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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