Individual
CRISTIAN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BMS
Contact information
Practice address
1509 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5922
(575) 758-7263
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
06/25/2015
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