Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1265 | NM |
N | 175F00000X | Naturopath | 768 | OR |
NPI | 1003938531 |
---|---|
Provider Name | Dr. Catherine J Stauber |
First Address | Las Vegas, NM 87701-3441 |
Second Address | Las Vegas, NM 87701-3441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |