Antillon, Kresta S
Antillon, Kresta S is an individual health care provider with primary practice located at 145 Don Pasqual Rd Nw , Los Lunas NM 87031-8841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Antillon, Kresta S can be contacted via phone (505) 865-4618.Contact Information
Primary practice address
145 Don Pasqual Rd Nw
Los Lunas NM 87031-8841
Phone: (505) 865-4618
Fax: (505) 224-8727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2018-0733 | New Mexico |
Profile Details
| NPI number | 1861887192 |
|---|---|
| LBN Legal business name | Antillon, Kresta S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2015 |
| Last updated | Apr 26th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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