SearchNew Mexico374U00000X

Stephanie Blackwood

NPI 1790321628 · on the registry since 2019 · sole proprietor

Practice

Address
208 W Avenue P
Lovington, NM 88260
Phone
(575) 964-0730

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-26

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