Individual
MS. ELIZABETH ANNE FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH CPDH BS
Contact information
Practice address
400 SAN FELIPE NW, SUITE F, ALBUQUERQUE, NM 87104
(505) 379-2131
Mailing address
PO BOX 1953, TIJERAS, NM 87059
(505) 379-2131
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1453
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72923733
—
NM
Enumeration date
03/22/2007
Last updated
07/08/2007
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