Individual
RENAE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY, ALBUQUERQUE, NM 87131-0001
(505) 277-0111
Mailing address
10405 WALKER DR NE, ALBUQUERQUE, NM 87112-5350
(505) 659-9368
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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