Individual
STEFANIE LEIGH RAITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, PHC
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 681-4154
(505) 724-6024
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 681-4154
(505) 724-6024
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5583
NM
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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