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Organization

SUNSHADES OF TAOS

Active
Other names
Tammy King
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAMMY KING (OWNER)
(575) 751-1565
Entity
Organization

Contact information

Practice address
104 S PLAZA, TAOS, NM 87571-5957
(575) 751-1565
(575) 751-1907
Mailing address
104 S PLAZA, TAOS, NM 87571-5957
(575) 751-1565
(575) 751-1907

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
635
NM

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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