Individual
SIMON E. SUINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 1488, PENA BLANCA, NM 87041-1488
(505) 379-7533
Mailing address
PO BOX 1488, PENA BLANCA, NM 87041-1488
(505) 379-7533
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1449
NM
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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