SANA WALTER JOHN AUGUSTINE

ESPANOLA, NM
NPI1144075706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NM  RS2024-0037)
Enumeration Date2024-04-18
Last Update Date2024-04-18
Business Address
SANA WALTER JOHN AUGUSTINE MD
2010 INDUSTRIAL PARK RD
ESPANOLA, NM 87532-3600
Phone number: 505-579-4255
Mailing Address
SANA WALTER JOHN AUGUSTINE MD
PO BOX 158
ESPANOLA, NM 87532-0158
Phone number: 505-579-4255
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