Individual
JUNE STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1264 RODEO RD, SANTA FE, NM 87505-6816
(813) 417-0884
(505) 982-1149
Mailing address
1264 RODEO RD, SANTA FE, NM 87505-6816
(813) 417-0884
(505) 982-1149
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R37299
NM
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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