Individual
SAMUEL BLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 COLBERT AVENUE, SPRINGER, NM 87747-0488
(575) 483-2682
(575) 483-2670
Mailing address
PO BOX 488, SPRINGER, NM 87747-0488
(575) 483-2682
(575) 483-2670
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
00022536
NM
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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