Individual
TERESA MANDUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6565 AMERICAS PKWY NE STE 200, ALBUQUERQUE, NM 87110-8172
(866) 273-2451
Mailing address
6565 AMERICAS PKWY NE STE 200, ALBUQUERQUE, NM 87110-8172
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/29/2016
Last updated
08/04/2016
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