Individual
REBECA GURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-3425
(505) 242-6988
(505) 242-6972
Mailing address
4010 SHELDON ST SE, UNIT A, ALBUQUERQUE, NM 87105-0604
(505) 362-5762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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