Individual
SAMANTHA WHITE NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6100 SEAGULL ST NE, SUITE B-102, ALBUQUERQUE, NM 87109-2500
(505) 823-2411
(505) 858-0650
Mailing address
6100 SEAGULL ST NE, SUITE B-102, ALBUQUERQUE, NM 87109-2500
(505) 823-2411
(505) 858-0650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2503
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26790
PRESBYTERIAN HEALTH PLAN
NM
01
—
695957
ACN
NM
01
—
NM00Q490
BCBS
NM
Enumeration date
11/28/2006
Last updated
07/08/2007
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