Individual
MRS. RYAN MAITE CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4201 CENTRAL AVE NW STE 3, ALBUQUERQUE, NM 87105-1630
(505) 508-1739
Mailing address
53 VIA ENTRADA, SANDIA PARK, NM 87047-9681
(505) 301-4773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69418
NM
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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