Individual
ASHLEY TAPAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 HASLER VALLEY ROAD, GALLUP, NM 87301-8730
(505) 405-9586
Mailing address
227 VIRO CIR, GALLUP, NM 87301-6637
(415) 946-9529
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1428
NM
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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