Individual
MS. MARY SEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4129 CHERRYDALE CT NW, ALBUQUERQUE, NM 87107-3205
(505) 280-0678
Mailing address
4129 CHERRYDALE CT NW, ALBUQUERQUE, NM 87107-3205
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
507437168
NM
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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