Organization
VALLEY COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH-TAM HO CNM, CNP (MEDICAL CO-LEAD)
(505) 221-6337
Entity
Organization
Contact information
Practice address
8120 LA MIRADA PL NE, ALBUQUERQUE, NM 87109-1605
(505) 221-6337
Mailing address
PO BOX 25002, ALBUQUERQUE, NM 87125-0002
(505) 221-6337
Taxonomy
Speciality
Code
Description
License number
State
207VC0300X
Complex Family Planning Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316254162
—
NM
05
—
1508165754
—
MA
Enumeration date
06/15/2024
Last updated
09/06/2024
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