Individual
RONALD KENT NESTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
800 EAST NINTH STREET, SIERRA VISTA HOSPITAL, TRUTH OR CONSEQUENCES, NM 87901
(505) 894-2111
(505) 894-7659
Mailing address
800 EAST NINTH STREET, SIERRA VISTA HOSPITAL, TRUTH OR CONSEQUENCES, NM 87901
(505) 894-2111
(505) 894-7659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0064311
NM
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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