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STACY ANNETTE CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
2200 N SUNSET AVE, FARMINGTON, NM 87401-3421
(505) 324-0352
Mailing address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 324-9840

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R36591
NM

Other

Enumeration date
07/06/2023
Last updated
07/06/2023
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