Individual
MADISON PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10401 RESEARCH RD SE, ALBUQUERQUE, NM 87123-3423
(505) 823-4530
Mailing address
10401 RESEARCH RD SE, ALBUQUERQUE, NM 87123-3423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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