Individual
ANDREA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11227 JORDAN AVE NE, ALBUQUERQUE, NM 87122-3384
(505) 269-1875
Mailing address
11227 JORDAN AVE NE, ALBUQUERQUE, NM 87122-3384
(505) 269-1875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4207
NM
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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