Individual
MS. TIRSA EAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
415 STANFORD DR SE, ALBUQUERQUE, NM 87106-3543
(505) 573-9653
Mailing address
415 STANFORD DR SE, ALBUQUERQUE, NM 87106-3543
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
19191R
NM
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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