Individual
ANTIONETTE LOVATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
1600 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6734
(505) 404-0417
Mailing address
1600 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6734
(505) 404-0717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CTB-2022-0841
LICENSE
NM
Enumeration date
01/03/2023
Last updated
01/03/2023
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