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Individual

NALLELI GARCIA PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8120 CONSTITUTION PL NE, ALBUQUERQUE, NM 87110-7654
(505) 554-7830
Mailing address
3017 PAYNE RD SW, ALBUQUERQUE, NM 87121-5126
(505) 348-3028

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1274
NM

Other

Enumeration date
08/03/2023
Last updated
08/03/2023
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