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Individual

ANNA MARIE SIOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1014 HUMMINGBIRD PL SW, ALBUQUERQUE, NM 87105-8130
(505) 582-4246
Mailing address
1014 HUMMINGBIRD PL SW, ALBUQUERQUE, NM 87105-8130
(505) 582-4246

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2016-0007
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44670575
NM
01
PA2016-0007
PA LICENSE
NM
Enumeration date
05/03/2016
Last updated
07/02/2020
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