Individual
CARLOS JACOB BONNAFOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MEDICAL STUDENT
Contact information
Practice address
UNMH HOSPITAL: 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106
(505) 272-3414
Mailing address
MSCOB 4700 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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