Individual
MR. ATENOGENES VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11212 MIRAVISTA PL SE, ALBUQUERQUE, NM 87123
(505) 373-9285
Mailing address
11212 MIRAVISTA PLACE SE, ALBUQUERQUE, NM 87123
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2126
NM
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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