Individual
MRS. KAZUKO K PURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3701 EUBANK BLVD NE, ALBUQUERQUE, NM 87111
(505) 298-2020
(505) 298-2382
Mailing address
3701 EUBANK BLVD NE, ALBUQUERQUE, NM 87111
(505) 298-2020
(505) 298-2382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2263
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P0631
—
NM
Enumeration date
09/28/2006
Last updated
07/08/2007
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