Individual
HEAVEN GINA THROGMORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 CANDELARIA RD NE STE 250, ALBUQUERQUE, NM 87107-1966
(505) 706-6383
Mailing address
3321 CANDELARIA RD NE STE 250, ALBUQUERQUE, NM 87107-1966
(505) 706-6383
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CCSS
NM
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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