Individual
MRS. SHASTA STURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 LOS LENTES RD SE, LOS LUNAS, NM 87031-7052
(505) 944-6626
Mailing address
3461 LONE TREE ST SW, LOS LUNAS, NM 87031-6249
(505) 480-2936
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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