Individual
MR. SAMUEL CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 ENCINO PL NE STE A, ALBUQUERQUE, NM 87102-2612
(505) 272-3280
(505) 272-2240
Mailing address
801 ENCINO PL NE STE A, ALBUQUERQUE, NM 87102-2612
(505) 272-3280
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
02/19/2025
Last updated
09/23/2025
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