Individual
NATHAN JOE SUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
230 ROTTEN TREE ROAD, TAOS, NM 87571
(575) 758-7824
(575) 758-3346
Mailing address
PO BOX 1846, TAOS, NM 87571-1846
(575) 758-7824
(575) 758-3346
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
983
NM
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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