Individual
OCTAVIA BASHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 MONTERREY RD NE, RIO RANCHO, NM 87144-1584
(505) 835-3834
(505) 557-1156
Mailing address
1500 MONTERREY RD NE, RIO RANCHO, NM 87144-1584
(505) 835-3834
(505) 557-1156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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