Individual
CHARLES TESSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 NARCISCO ST NE, ALBUQUERQUE, NM 87112-6537
(505) 350-0882
Mailing address
1401 NARCISCO ST NE, ALBUQUERQUE, NM 87112-6537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R35214
NM
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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