Individual
ASHLEE DAWN MUNCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 GLADSTONE ST APT D, CLOVIS, NM 88101-5070
(505) 399-1433
Mailing address
2112 GLADSTONE ST APT D, CLOVIS, NM 88101-5070
(505) 399-1433
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/28/2016
Last updated
05/28/2016
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