Individual
MORIAH CARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
Mailing address
5729 EDITH BLVD NE APT C, ALBUQUERQUE, NM 87107-5163
(505) 999-7543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2021-0116
NM
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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