Individual
MARK GANAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RNCS
Contact information
Practice address
4316 CARLISLE BLVD NE, SUITE D, ALBUQUERQUE, NM 87107-4829
(505) 837-2100
(505) 888-7943
Mailing address
4316 CARLISLE BLVD NE, SUITE D, ALBUQUERQUE, NM 87107-4829
(505) 837-2100
(505) 888-7943
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R25559
NM
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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