DR. Stacie Shain, D.O.M

NPI #1124488770 in Bosque Farms, New Mexico

Provider Information

NPI Number: 1124488770
Entity Type: Individual
Name: DR. Stacie Shain, D.O.M
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: D.O.M
Enumeration Date: Feb 24, 2016
Last Updated: Feb 24, 2016

Practice Location

Address: 590 BOSQUE FARMS BLVD
City: Bosque Farms
State: New Mexico
ZIP Code: 87068-9645
Phone: (505) 730-1570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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