Individual
MRS. KELLY JO HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4105 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-2069
(505) 892-6690
(505) 892-8244
Mailing address
5104 RIVER RIDGE PL NW, ALBUQUERQUE, NM 87114-1231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006986
NM
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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