Individual
ALEXANDER CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1264 RODEO RD, SANTA FE, NM 87505-6816
(505) 982-2129
Mailing address
1211 8TH ST STE C, ALAMOGORDO, NM 88310-5808
(866) 273-2451
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2024-0778
NM
Other
Enumeration date
03/08/2023
Last updated
11/14/2024
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