Individual
EILEEN CLAIRE MONYOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 N MUNDO, DULCE, NM 87528
(575) 759-3291
(575) 759-3651
Mailing address
PO BOX 187, DULCE, NM 87528-0187
(575) 759-3291
(575) 759-3651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001967
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79970516
—
CO
Enumeration date
10/11/2005
Last updated
03/07/2023
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