Organization
TRANQUILINA THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO ORTIZ (CREDENTIALING MANAGER)
(575) 707-8150
Entity
Organization
Contact information
Practice address
1420 CARLISLE BLVD NE STE 201D201E, ALBUQUERQUE, NM 87110-5660
(505) 226-2937
Mailing address
PO BOX 11605, ALBUQUERQUE, NM 87192-0605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
10/02/2024
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