Individual
DALLAS SCHWAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
3301 LOS ARBOLES AVE NE, ALBUQUERQUE, NM 87107-1943
(505) 800-7092
(505) 555-2851
Mailing address
3301 LOS ARBOLES AVE NE, ALBUQUERQUE, NM 87107-1943
(505) 800-7092
(505) 888-2851
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1431
NM
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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