Individual
ANASTASIA TSIAGKOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2947 WOODLAND RD, LOS ALAMOS, NM 87544-1507
(505) 699-3973
Mailing address
2947 WOODLAND RD, LOS ALAMOS, NM 87544-1507
(505) 699-3973
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
2947
NM
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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