Individual
CALEB JOZEF STOLARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
629 PECOS AVE, RATON, NM 87740-4158
(575) 779-5888
Mailing address
629 PECOS AVE, RATON, NM 87740-4158
(575) 779-5888
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DOM1269
LICENSE
NM
Enumeration date
01/25/2021
Last updated
01/25/2021
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