Individual
STEPHEN FUHLENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
412 SIPAPU ST, TAOS, NM 87571-6498
(575) 737-5533
(575) 737-5534
Mailing address
105 PASEO DEL CANON W STE A, TAOS, NM 87571-6943
(575) 737-5533
(575) 737-5534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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