Individual
RANDY MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCSS
Contact information
Practice address
3501 STARDUST DR NE, ALBUQUERQUE, NM 87110-1498
(505) 217-1717
Mailing address
9201 MONTGOMERY BLVD NE STE V, ALBUQUERQUE, NM 87111-2470
(505) 507-7984
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CCSS
NM
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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