Individual
MRS. STACEY L ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 LOPEZ RD SW, ALBUQUERQUE, NM 87105-3954
(505) 877-7060
Mailing address
10749 CAPRICORN PL NW, ALBUQUERQUE, NM 87114-3408
(505) 907-4721
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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