Individual
DAPHNE THAYER BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4263 MONTGOMERY BLVD NE, SUITE 200, ALBUQUERQUE, NM 87109-6747
(505) 872-3100
Mailing address
901 ORTEGA RD NW, LOS RANCHOS, NM 87114-1417
(505) 263-4236
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7312
NM
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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