Individual
MRS. ANN MARIE MUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 SAN MIGUEL RD, EDGEWOOD, NM 87015-7919
(505) 286-4366
Mailing address
13 SAN MIGUEL RD, EDGEWOOD, NM 87015-7919
(505) 286-4366
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
105316
TX
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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