Individual
AMALIA LABAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-4475
Mailing address
9800 SUN CHASER TRL SW, ALBUQUERQUE, NM 87121-4272
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
77067
NM
Other
Enumeration date
10/11/2013
Last updated
10/17/2017
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