Individual
TRACI TADANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
7847 TRAMWAY BLVD NE, ALBUQUERQUE, NM 87122-2515
(505) 821-5422
Mailing address
6601 TENNYSON ST NE APT 1305, ALBUQUERQUE, NM 87111-8178
(575) 418-1227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8013
NM
Other
Enumeration date
09/22/2013
Last updated
09/22/2013
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