Individual
MISS CAITLYNNE MARIE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
10700 CORRALES RD NW STE I, ALBUQUERQUE, NM 87114-9255
(505) 890-0003
(505) 221-5757
Mailing address
10700 CORRALES RD NW STE I, ALBUQUERQUE, NM 87114-9255
(505) 890-0003
(505) 221-5757
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6636
NM
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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