Individual
MAX RALPH SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 VILLA ELENA LN, BERNALILLO, NM 87004-5935
(505) 270-8677
Mailing address
549 CORONADO DR, BERNALILLO, NM 87004-9103
(505) 270-8677
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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