Individual
MR. CONCEPCION GUILEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
220 52ND ST SW, ALBUQUERQUE, NM 87105-2502
(505) 804-9849
Mailing address
220 52ND ST SW, ALBUQUERQUE, NM 87105-2502
(505) 804-9849
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7396
NM
Other
Enumeration date
07/05/2013
Last updated
08/23/2013
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