Individual
EHSANULLAH EHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13139 CENTRAL AVE NE, ALBUQUERQUE, NM 87123-3031
(831) 325-3541
Mailing address
13139 CENTRAL AVE NE, ALBUQUERQUE, NM 87123-3031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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