Individual
TASHANYA MARIE ST.ONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 EL CENTRO FAMILIAR BLVD SW BLDG B, ALBUQUERQUE, NM 87105-4592
(505) 272-5786
(505) 873-5970
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 873-5970
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NM
Other
Enumeration date
08/13/2020
Last updated
09/11/2020
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