Individual
ASHLEY NICOLE SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10704 MIERA DR NW, ALBUQUERQUE, NM 87114-5696
(505) 261-3706
Mailing address
10704 MIERA DR NW, ALBUQUERQUE, NM 87114-5696
(505) 261-3706
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
01/22/2024
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