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Individual

SALVADOR JORGE LAMELAS-ROSALES SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 767-1171
Mailing address
7500 FREDERICK LN SW, ALBUQUERQUE, NM 87121-2217
(505) 910-8693

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
20160952281
NM
3747A0650X
Attendant Care Provider

Other

Enumeration date
05/27/2024
Last updated
05/27/2024
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