Individual
NATHAN VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8510 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2307
(505) 348-0066
Mailing address
5082 KENWOOD RD, LAS CRUCES, NM 88012-7426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010015
NM
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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