Individual
TANASHA CANUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BROADWAY, SUITE D, FARMINGTON, NM 87401-5638
(505) 326-9157
(505) 326-5055
Mailing address
1001 W BROADWAY, SUITE D, FARMINGTON, NM 87401-5638
(505) 326-9157
(505) 326-5055
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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