Individual
TONIA CRAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 MONROE ST NE, ALBUQUERQUE, NM 87110-1904
(505) 304-2900
Mailing address
3110 MONROE ST NE, ALBUQUERQUE, NM 87110-1904
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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