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Individual

CARRIE NICOLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7849 TRAMWAY BLVD NE STE A, ALBUQUERQUE, NM 87122-2529
(505) 821-3831
Mailing address
7849 TRAMWAY BLVD NE STE A, ALBUQUERQUE, NM 87122-2529
(505) 821-3831

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3647
NM

Other

Enumeration date
04/28/2023
Last updated
04/28/2023
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