Individual
ANGELA MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 W ABRAHAMES RD, STE D, MORIARTY, NM 87035-8197
(505) 384-0220
Mailing address
282 S CAMINO DEL PUEBLO, 2C, BERNALILLO, NM 87004-5909
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/12/2015
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