Individual
STEPHANIE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
2515 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 434-0119
(877) 553-1272
Mailing address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 651-0289
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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