Individual
KYLE PAUL ATENCIO-CRESPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4118 CENTRAL AVE SE, ALBUQUERQUE, NM 87108-1177
(505) 463-1970
Mailing address
6514 CLEGHORN RD NW, ALBUQUERQUE, NM 87120-1682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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