Organization
ACADEMY OF TRADES AND TECHNOLOGY SBHC
Active
Organization
ACADEMY OF TRADES AND TECHNOLOGY SBHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE KAUFMAN (NURSE)
(505) 765-5517
Entity
Organization
Contact information
Practice address
1718 YALE BLVD SE, ALBUQUERQUE, NM 87106-4136
(505) 765-5517
Mailing address
1718 YALE BLVD SE, ALBUQUERQUE, NM 87106-4136
(505) 765-5517
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NM
291U00000X
Clinical Medical Laboratory
—
NM
3336C0002X
Clinic Pharmacy
—
NM
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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