BEATRIC E BALSAMO

TAOS, NM
NPI1871638403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NM  83PA001)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- BEATRIC E BALSAMO PA
1399 WEIMER RD STE 200 NDCBU BOX 5775
TAOS, NM 87571-6349
Phone number: 505-758-2224
Mailing Address
-- BEATRIC E BALSAMO PA
PO BOX 933
RANCHOS DE TAOS, NM 87557-0933
Phone number: 505-758-0137
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