Individual
SUZANNE STORMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 E APACHE ST, FARMINGTON, NM 87401-6925
(505) 326-2012
(505) 326-2012
Mailing address
607 E APACHE ST, FARMINGTON, NM 87401-6925
(505) 326-2012
(505) 326-2939
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
216970
NC
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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