Individual
SALVADOR MARIO LAMELAS-ALDRETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6508 GLENDORA DR NE, ALBUQUERQUE, NM 87109-3623
(505) 803-4376
Mailing address
6508 GLENDORA DR NE, ALBUQUERQUE, NM 87109-3623
(505) 803-4376
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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