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Organization

VACCINES FOR HEALTH

Active
Parent organization
NANULIA PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NANULIA PC
Authorized official
NANCI BALDWIN RN (OWNER)
(505) 881-8785
Entity
Organization

Contact information

Practice address
1717 LOUISIANA BLVD NE, SUITE 212, ALBUQUERQUE, NM 87110-7001
(505) 881-8785
Mailing address
1717 LOUISIANA BLVD NE, SUITE 212, ALBUQUERQUE, NM 87110-7001
(505) 881-8785

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
89-142
NM

Other

Enumeration date
08/20/2014
Last updated
02/17/2015
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