Individual
SIMONE MICHELE ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-1680
(505) 633-8173
Mailing address
1204 NAKOMIS DR NE UNIT C, ALBUQUERQUE, NM 87112-6079
(505) 263-1738
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1491
NM
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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