STACEY RENEE VIERRA

KIRTLAND AFB, NM
NPI1952541716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2009-03-05
Last Update Date2021-03-31
Business Address
STACEY RENEE VIERRA PA-C
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-5522
Phone number: 505-846-3200
Mailing Address
STACEY RENEE VIERRA PA-C
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-5522
Phone number: 505-846-3200
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