Individual
STEPHENDANELL E STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
Mailing address
PO BOX 907, HOBBS, NM 88241-0907
(575) 393-3168
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1022
NM
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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