Individual
SYLVIA FERNANDEZ VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1393 WEIMER RD, TAOS, NM 87571-6253
(505) 758-8651
Mailing address
1393 WEIMER RD, TAOS, NM 87571-6253
(505) 758-8651
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
97-161
NM
Other
Enumeration date
05/02/2006
Last updated
03/11/2011
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