Individual
MATTIE FIRLIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8000
Mailing address
5320 SAN MATEO BLVD NE APT C29, ALBUQUERQUE, NM 87109-6254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1392
NM
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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