SearchNew Mexico164W00000X

Stacy Vigil

NPI 1700393766 · on the registry since 2017 · sole proprietor

Practice

Address
213 Chico Dr
Las Vegas, NM 87701
Phone
(505) 429-5508

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
164X00000X
171M00000X
376K00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-06

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