Individual
CARLEEN FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
573 VANCOUVER RD SE APT K, RIO RANCHO, NM 87124-3857
(505) 545-9225
Mailing address
573 VANCOUVER RD SE APT K, RIO RANCHO, NM 87124-3857
(505) 545-9225
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
510265122
NM
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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