Individual
MIRA FURGOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC10 5580, ALBUQUERQUE, NM 87131-0001
(505) 272-0701
(505) 272-1311
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC10 5580, ALBUQUERQUE, NM 87131-0001
(505) 272-0701
(505) 272-1311
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC2015-017
NM
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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