Individual
MR. RAYMOND JOSEPH TELLES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1706 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4502
(505) 877-0371
(505) 877-6767
Mailing address
1706 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4502
(505) 877-0371
(505) 877-6767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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