Individual
MRS. DARLENE LYNN MIRABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
630 HAINES AVE NW, ALBUQUERQUE, NM 87102-1226
(505) 702-3785
Mailing address
6209 DENNISON RD SW, ALBUQUERQUE, NM 87121-3224
(505) 702-3785
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1630
NM
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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