Individual
DR. MICKEY MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2441 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-4101
(505) 403-6512
Mailing address
2441 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-4101
(505) 403-6512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2250
NM
Other
Enumeration date
07/27/2021
Last updated
11/17/2022
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