Individual
MARIA CHRISTINA FAST WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S SECOND ST, GALLUP, NM 87301-6219
(505) 409-0726
Mailing address
PO BOX 3256, MILAN, NM 87021-3256
(505) 285-7683
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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