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Individual

ELYSE AHNAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4 PETUNIA CT, SANDIA PARK, NM 87047-6800
(505) 259-4828
Mailing address
PO BOX 700, SANDIA PARK, NM 87047-0700
(505) 259-4828

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
293
NM

Other

Enumeration date
05/03/2019
Last updated
05/03/2019
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