Individual
AMANDA ROSABEL SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
622 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(505) 235-5114
Mailing address
622 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN-87975
NM
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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