Individual
CARLOS LARRIBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9909 ARVILLA AVE NE, ALBUQUERQUE, NM 87111-4814
(505) 459-5786
Mailing address
9909 ARVILLA AVE NE, ALBUQUERQUE, NM 87111-4814
(505) 459-5786
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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