Individual
AUDRA LYNN MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
700 FRIEDMAN AVE, 3695 HOT SPRINGS, LAS VEGAS, NM 87701-4231
(505) 454-5100
(505) 454-5119
Mailing address
700 FRIEDMAN AVE, 3695 HOT SPRINGS, LAS VEGAS, NM 87701-4231
(505) 454-5100
(505) 454-5119
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
LPN-21785
NM
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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