AMYLIA ASHLEY BLACK

FARMINGTON, NM
NPI1881947372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  90687)
Enumeration Date2012-10-21
Last Update Date2025-01-13
Business Address
AMYLIA ASHLEY BLACK CRNA
2300 E 30TH ST BLDG A
FARMINGTON, NM 87401-8991
Phone number: 505-564-2300
Mailing Address
AMYLIA ASHLEY BLACK CRNA
3208 N COCHITI AVE
FARMINGTON, NM 87401-2052
Phone number: 435-459-9881