Individual
LARA V VIDAL ZALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7441 BARTLETT ST NE STE 1C, ALBUQUERQUE, NM 87109-5916
(505) 990-8576
Mailing address
11009 CORDOVA AVE NE, ALBUQUERQUE, NM 87112-1705
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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