Doctor Name: | MS. MARCIA ANN SAHMAUNT |
NPI Number: | 1629228507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12000 Stone Lake Road Dulce, NM - 87528 |
Business Phone Number: | 5757597246 |
Business Fax Number: | 5757597294 |
Mailing Address: | P O Box 187, 12000 DULCE |
State: | NM |
Postal Code: | 875280187 |
Phone Number: | 5057597246 |
Fax Number: | 5057597294 |
NPI Enumeration Date: | 09/26/2008 |
NPI Last Update Date: | 09/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RM2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Medical Laboratory |
Taxonomy Definition: |