Individual
MILENA JERENE SUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 SAN CARLOS RD SW APT 7, ALBUQUERQUE, NM 87104-1060
(720) 495-2346
Mailing address
1405 SAN CARLOS RD SW APT 7, ALBUQUERQUE, NM 87104-1060
(720) 495-2346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/14/2023
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