Individual
PROF. PAMELA STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 3256, MILAN, NM 87021-3256
(505) 409-0726
(866) 206-1271
Mailing address
PO BOX 997, JAMESTOWN, NM 87347-0997
(505) 905-9824
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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