Individual
MRS. SANAM ELIZABETH RADJY KELEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 VASSAR DR SE, ALBUQUERQUE, NM 87106-2826
(505) 242-1461
Mailing address
305 VASSAR DR SE, ALBUQUERQUE, NM 87106-2826
(505) 242-1461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3213
NM
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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