Individual
BRYANNA M VAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 NM HWY 528, BERNALILLO, NM 87004
(505) 771-4877
Mailing address
4903 PARSIFAL ST NE, ALBUQUERQUE, NM 87111-2542
(505) 269-7885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008725
NM
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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