Individual
MS. STEPHANIE POAFPYBITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 E BLANCO BLVD TRLR 87, BLOOMFIELD, NM 87413-6018
(505) 436-6360
Mailing address
2100 E BLANCO BLVD TRLR 87, BLOOMFIELD, NM 87413-6018
(505) 436-6360
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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