KIRSTEN LAVISTA

SANTA FE, NM
NPI1710025648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NM  0003)
Additional Taxonomies174400000X Specialist
(Licence: IL  181.000272)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
Dr. KIRSTEN LAVISTA DN
3600 CERRILLOS RD SUITE 407
SANTA FE, NM 87507-2612
Phone number: 505-424-8990
Mailing Address
Dr. KIRSTEN LAVISTA DN
3600 CERRILLOS RD SUITE 407
SANTA FE, NM 87507-2612
Phone number: 505-424-8990