MICHAEL B STULL

PORTALES, NM
NPI1952630642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date2009-12-09
Last Update Date2010-08-19
Business Address
MR. MICHAEL B STULL IDMT
904 S DALLAS AVE APT 3
PORTALES, NM 88130-6028
Phone number: 575-784-0287
Mailing Address
MR. MICHAEL B STULL IDMT
904 S DALLAS AVE APT 3
PORTALES, NM 88130-6028
Phone number: