Individual
MS. SUELLEN STRALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CR 103, BUILDING 3, CHIMAYO, NM 87522
(505) 351-1456
(505) 351-1556
Mailing address
PO BOX 1027, CHIMAYO, NM 87522-1027
(505) 351-1456
(505) 351-1556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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