Individual
MAX POWDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 CYPRESS POINT WAY NE, ALBUQUERQUE, NM 87111
(505) 379-1550
Mailing address
2033 VERMONT NE, ALBUQUERQUE, NM 87110
(505) 299-4660
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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