Individual
MRS. ELIZABETH AMANDA STENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, (ASCP)CM
Contact information
Practice address
10444 CALLE AVILA NW, ALBUQUERQUE, NM 87114-1804
(505) 610-0490
Mailing address
10444 CALLE AVILA NW, ALBUQUERQUE, NM 87114-1804
(505) 610-0490
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
04136035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576217764
VETERANS ADMINSTRATION
CO
Enumeration date
09/08/2013
Last updated
09/08/2013
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