Individual
COREY COOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 PRENDA DE ORO NW, ALBUQUERQUE, NM 87120-1337
(815) 677-5152
Mailing address
5900 PRENDA DE ORO NW, ALBUQUERQUE, NM 87120-1337
(815) 677-5152
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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