Organization
PAMELA BARRETT DOM LLC
Active
Organization
PAMELA BARRETT DOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAMELA SUE BARRETT D.O.M. (OWNER)
(505) 850-8576
Entity
Organization
Contact information
Practice address
408 GENERAL STILWELL ST NE, ALBUQUERQUE, NM 87123-1028
(505) 850-8576
Mailing address
408 GENERAL STILWELL ST NE, ALBUQUERQUE, NM 87123-1028
(505) 850-8576
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1028
NM
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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