person
Kristal Anguiano, PA
Medical Physician Assistant in Espanola, New Mexico
NPI 1760771067

Kristal Anguiano is a Medical Physician Assistant based in Espanola, NM and is specialized in Medical. Kristal Anguiano practices in Espanola, NM and has the professional credentials of PA. The NPI Number for Kristal Anguiano is 1760771067 and holds a License No. PA2012-0007 (New Mexico).

The current practice location address for Kristal Anguiano is 2010 Industrial Park Rd., Espanola, NM and can be reached out via phone at 505-753-7395.

Location: 2010 Industrial Park Rd., Espanola, NM, 87532-0158
person
Provider Profile Details
NPI Number
1760771067
Provider Name
Kristal Anguiano
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2010 Industrial Park Rd., Espanola, NM, 87532-0158
Phone Number
505-753-7395
Fax Number
Provider Enumeration Date
04/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61528021 05 NM
institution
Provider Business Practice Location Address Details
Address
2010 Industrial Park Rd.
City
State
Zip
87532-3600
Phone Number
505-753-7395
Fax Number
person
Provider Business Mailing Address Details
Address
2010 Industrial Park Rd.
City
State
Zip
87532-3600
Phone Number
505-753-7395
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2012-0007 (New Mexico)
Definition
Definition to come...
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