Individual
AMANDA BRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1210
(505) 884-0079
Mailing address
4600 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72767
NM
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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