Individual
ALICIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 796-3074
Mailing address
601 COAL AVE SW APT 239, ALBUQUERQUE, NM 87102-3080
(505) 238-3108
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
RTT1327
NM
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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