Individual
STACY L. DISABATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PERKINS DR, STE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
(575) 523-7254
Mailing address
301 PERKINS DR, SUITE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
(575) 523-7254
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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