Individual
ANTHONY THIEMAN-SOMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 VALENTINE WAY, SANTA FE, NM 87507-7301
(505) 988-1951
Mailing address
6601 VALENTINE WAY, SANTA FE, NM 87507-7301
(505) 988-1951
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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