Individual
VERA POVOLNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1884 CANDELA ST, SANTA FE, NM 87505-5647
(505) 660-0146
Mailing address
1884 CANDELA ST, SANTA FE, NM 87505-5647
(505) 660-0146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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