Individual
DR. ALICIA MICHELE BURBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 JUAN TABO BLVD NE, SUITE 4, ALBUQUERQUE, NM 87111-3984
(505) 298-1010
(505) 298-3939
Mailing address
3900 JUAN TABO BLVD NE, SUITE 4, ALBUQUERQUE, NM 87111-3984
(505) 298-1010
(505) 298-3939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2013-0964
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61625728
—
NM
Enumeration date
04/16/2009
Last updated
04/08/2017
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