STACIE SHAIN

BOSQUE FARMS, NM
NPI1124488770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: NM  1176)
Enumeration Date2016-02-24
Last Update Date2016-02-24
Business Address
Dr. STACIE SHAIN D.O.M
590 BOSQUE FARMS BLVD
BOSQUE FARMS, NM 87068-9645
Phone number: 505-730-1570
Mailing Address
Dr. STACIE SHAIN D.O.M
PO BOX 122
TOME, NM 87060-0122
Phone number: 505-730-1570