Individual
MAGDALENA ANDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1600 LENA ST, BUILDING C, # 16, SANTA FE, NM 87505-3891
(505) 216-1661
(505) 216-1661
Mailing address
PO BOX 441, RIBERA, NM 87560-0441
(415) 798-7508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7380
NM
Other
Enumeration date
01/12/2014
Last updated
01/12/2014
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