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Keresoma Tialavea

NPI 1487185518 · on the registry since 2017 · sole proprietor

Practice

Address
1109 W College Ave Apt 2
Silver City, NM 88061
Phone
(415) 730-2365

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2017-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico