Sally Vancuren

NPI #1801343470 in Truchas, New Mexico

Provider Information

NPI Number: 1801343470
Entity Type: Individual
Name: Sally Vancuren
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: COUNTY ROAD 75
Address 2: HOUSE #285
City: Truchas
State: New Mexico
ZIP Code: 87578
Phone: (505) 927-3497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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