Individual
MS. ELAINE AGNES ROYBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8409 VISTA CHAMISA LN SW, ALBUQUERQUE, NM 87121-7619
(505) 366-8974
Mailing address
8409 VISTA CHAMISA LN SW, ALBUQUERQUE, NM 87121-7619
(505) 366-8974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5485
NM
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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