KRISTY R STATEN

SANDIA PARK, NM
NPI1518174317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: NM  043)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- KRISTY R STATEN O.T.
37 ERICKSON RD
SANDIA PARK, NM 87047-9300
Phone number: 505-281-9605
Mailing Address
-- KRISTY R STATEN O.T.
37 ERICKSON RD
SANDIA PARK, NM 87047-9300
Phone number: 505-281-9605