Individual
MS. MARCIA ANN SAHMAUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 STONE LAKE ROAD, DULCE, NM 87528
(575) 759-7246
(575) 759-7294
Mailing address
P O BOX 187, 12000, DULCE, NM 87528-0187
(505) 759-7246
(505) 759-7294
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
09/26/2008
Last updated
09/26/2008
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