Individual
MR. CHARLES BAKER CIRIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
(505) 248-1351
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
(505) 248-1351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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