Individual
ANDREA RENEE BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PARADOR CT, LOS LUNAS, NM 87031-7355
(719) 964-0240
Mailing address
24 PARADOR CT, LOS LUNAS, NM 87031-7355
(719) 964-0240
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/11/2021
Last updated
12/13/2021
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