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Mrs. Ann Marie Musto
Military Health Care Provider in Edgewood, New Mexico
NPI 1164581021

Ann Marie Musto is a Military Health Care Provider based in Edgewood, NM. Ann Marie Musto practices in Edgewood, NM. The NPI Number for Ann Marie Musto is 1164581021 and holds a License No. 105316 (New Mexico).

The current practice location address for Ann Marie Musto is 13 San Miguel Rd, Edgewood, NM and can be reached out via phone at 505-286-4366.

Location: 13 San Miguel Rd, Edgewood, NM, 87015-7919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164581021
Provider Name
Ann Marie Musto
Credential
Provider Entity Type
Individual
Gender
Female
Address
13 San Miguel Rd, Edgewood, NM, 87015-7919
Phone Number
505-286-4366
Fax Number
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13 San Miguel Rd
City
Edgewood
State
New Mexico
Zip
87015-7919
Phone Number
505-286-4366
Fax Number
person
Provider Business Mailing Address Details
Address
13 San Miguel Rd
City
Edgewood
State
New Mexico
Zip
87015-7919
Phone Number
505-286-4366
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
105316 (Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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