Individual
SURRINA WHITEHORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 160 MM 284: 8 MILES, TEECNOSPOS, AZ 86514
(505) 419-3279
Mailing address
PO BOX 1343, KIRTLAND, NM 87417-1343
(505) 419-3279
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
033435380
NM
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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