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Desiree Stacey
Student in an Organized Health Care Education/Training Program in Taos, New Mexico
NPI 1164274890

Desiree Stacey is a Student in an Organized Health Care Education/Training Program based in Taos, NM. Desiree Stacey practices in Taos, NM. The NPI Number for Desiree Stacey is 1164274890 and holds a License No. (New Mexico).

The current practice location address for Desiree Stacey is 105 Bertha Rd Ste B, Taos, NM and can be reached out via phone at 575-758-4297.

Location: 105 Bertha Rd Ste B, Taos, NM, 87571-3886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164274890
Provider Name
Desiree Stacey
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Bertha Rd Ste B, Taos, NM, 87571-3886
Phone Number
575-758-4297
Fax Number
Provider Enumeration Date
04/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
105 Bertha Rd Ste B
City
Taos
State
New Mexico
Zip
87571-7148
Phone Number
575-758-4297
Fax Number
person
Provider Business Mailing Address Details
Address
105 Bertha Rd Ste B
City
Taos
State
New Mexico
Zip
87571-7148
Phone Number
575-758-4297
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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