Individual
MS. ASHLEY ALEXANDRA ROETHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2403 SAN MATEO BLVD NE, SUITE W-10, ALBUQUERQUE, NM 87110-4058
(505) 830-6500
Mailing address
9 HOPI DR, LOS LUNAS, NM 87031-6291
(505) 319-5559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0102371
NM
Other
Enumeration date
06/19/2007
Last updated
08/16/2007
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