Individual
DERRIN MACKENZIE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
11401 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2435
(505) 526-3649
Mailing address
2913 PALO VERDE DR NE APT A, ALBUQUERQUE, NM 87112-2175
(505) 321-6968
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1744
NM
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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