Individual
SARAH I CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4650 JEFFERSON LN NE, ALBUQUERQUE, NM 87109-2127
(505) 889-9639
(505) 872-1745
Mailing address
4650 JEFFERSON LN NE, ALBUQUERQUE, NM 87109-2127
(505) 889-9639
(505) 872-1745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2008-0034
NM
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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