Individual
SYBOL ESTELLE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
3 ROCK ROSE CT, EDGEWOOD, NM 87015-7012
(505) 401-7827
Mailing address
3 ROCK ROSE CT, EDGEWOOD, NM 87015-7012
(505) 401-7827
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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