Individual
MS. NANCY KITTREDGE STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
914 PINEHURST RD SE, STE 102, RIO RANCHO, NM 87124-2219
(505) 896-9412
(505) 896-9461
Mailing address
914 PINEHURST RD SE, STE 102, RIO RANCHO, NM 87124-2219
(505) 896-9412
(505) 896-9461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2008-0035
NM
Other
Enumeration date
08/04/2008
Last updated
04/16/2014
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