Individual
TASHINA CHAREN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 WEST HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052-8705
(505) 465-3060
Mailing address
PO BOX 340, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3072
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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