Organization
NMDOH PHD BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA E. HICKOK RN, MPH (NMDOH PHD CHIEF NURSE)
(505) 841-5890
Entity
Organization
Contact information
Practice address
5301 CENTRAL AVE NE, SUITE 800, ALBUQUERQUE, NM 87108-1513
(505) 841-5837
(505) 222-8602
Mailing address
5301 CENTRAL AVE NE, SUITE 800, ALBUQUERQUE, NM 87108-1513
(505) 841-5837
(505) 222-8602
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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