Individual
MS. TRACI GAE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N,.
Contact information
Practice address
5232 SARATOGA CT NW, ALBUQUERQUE, NM 87120-2296
(505) 250-8822
Mailing address
5232 SARATOGA CT NW, ALBUQUERQUE, NM 87120-2296
(505) 250-8822
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R42597
NM
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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