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Individual

MICHELLE MARIE TAFOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
413 LOS LENTES RD NE, LOS LUNAS, NM 87031-9337
(505) 321-5254
(505) 271-4957
Mailing address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 345-8471

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
11/08/2019
Last updated
10/29/2021
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