Individual
SARA ELAINE ASBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 E BROADWAY AVE, BLOOMFIELD, NM 87413-6240
(720) 291-0730
Mailing address
412 E BROADWAY AVE, BLOOMFIELD, NM 87413-6240
(720) 291-0730
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
PSL00273
NM
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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