Individual
ALEXANDER VILLALONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3013 CONCHAS ST NE, ALBUQUERQUE, NM 87111-4744
(505) 715-9831
Mailing address
3013 CONCHAS ST NE, ALBUQUERQUE, NM 87111-4744
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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