Individual
SUSAN L BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
4331 E. MAIN ST., SUITE 202, FARMINGTON, NM 87402
(505) 325-4101
(505) 327-7947
Mailing address
6225 RITA ST, FARMINGTON, NM 87401-8805
(508) 274-1746
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
141
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540653
—
MA
Enumeration date
07/05/2007
Last updated
10/30/2012
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