Individual
MRS. CARMEN RENA MOSELEY-SUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Mailing address
184 UNSER BLVD, RIO RANCHO, NM 87124
(505) 896-0928
(505) 896-0585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2011-0040
NM
Other
Enumeration date
09/27/2011
Last updated
09/18/2015
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