Individual
EDWARD CHARLES GABALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 MAIN ST NE, LOS LUNAS, NM 87031-7401
(505) 814-1995
Mailing address
6100 WYETH DR SE, ALBUQUERQUE, NM 87106-8016
(505) 730-6733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69205
NM
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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