-- AMYLIA ASHLEY BLACK CRNA ⚕️ New Mexico 1881947372

NPI	1881947372
Entity Type	Individual
Gender	Female
Sole Proprietor ?	Yes
Primary Taxonomy	367500000X Nurse Anesthetist, Certified Registered (Licence: NM 90687)
Enumeration Date	2012-10-21
Last Update Date	2016-07-21

-- AMYLIA ASHLEY BLACK CRNA

801 W MAPLE ST

FARMINGTON, NM 87401-5630

Phone number: 505-609-6623

-- AMYLIA ASHLEY BLACK CRNA

PO BOX 6210

FARMINGTON, NM 87499-6210

Phone number: 505-609-2258