Individual
MARIO ABEYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7504 REPUBLIC DR NE, ALBUQUERQUE, NM 87109-5164
(505) 270-5471
Mailing address
7504 REPUBLIC DR NE, ALBUQUERQUE, NM 87109-5164
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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