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Individual

ZOE HARNENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
201 CEDAR ST SE STE 5640, ALBUQUERQUE, NM 87106-4920
(505) 563-6530
(505) 224-7479
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD2024-0618
NM

Other

Enumeration date
04/23/2017
Last updated
06/24/2024
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