Individual
NICOLETTE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4905 SAN TIMOTEO AVE NW, ALBUQUERQUE, NM 87114-3814
(505) 400-5319
Mailing address
4905 SAN TIMOTEO AVE NW, ALBUQUERQUE, NM 87114-3814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
686
NM
Other
Enumeration date
09/14/2015
Last updated
09/29/2016
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