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Individual

ADDA E GARCIA MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSED, RRT, AE-C

Contact information

Practice address
11105 MILKY WAY ST NW, ALBUQUERQUE, NM 87114-1547
(505) 400-6947
Mailing address
11105 MILKY WAY ST NW, ALBUQUERQUE, NM 87114-1547

Taxonomy

Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
2243
NM
227900000X
Registered Respiratory Therapist
Primary
2243
NM
2279E1000X
Educational Registered Respiratory Therapist
2243
NM

Other

Enumeration date
03/12/2010
Last updated
03/12/2010
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