ALICIA DAWN HISTIA

PUEBLO OF ACOMA, NM
NPI1407567944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-12-06
Last Update Date2022-12-06
Business Address
ALICIA DAWN HISTIA
47 PINSBAARI
PUEBLO OF ACOMA, NM 87034
Phone number: 505-552-5145
Mailing Address
ALICIA DAWN HISTIA
47 PINSBAARI DR.
PUEBLO OF ACOMA, NM 87034
Phone number: 505-552-5145
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