Individual
AMBER TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 N MAIN ST, BELEN, NM 87002-3720
(505) 966-1904
(505) 966-1950
Mailing address
520 N MAIN ST, BELEN, NM 87002-3720
(505) 966-1904
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R29020
NM
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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