Individual
TASHA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 KATHRYN AVE SE, ALBUQUERQUE, NM 87106-3105
(505) 219-7933
Mailing address
2805 KATHRYN AVE SE, ALBUQUERQUE, NM 87106-3105
(505) 219-7933
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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