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Individual

CHRISTINA CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1524 EUBANK BLVD NE STE 6, ALBUQUERQUE, NM 87112-4160
(505) 503-8806
(888) 503-8511
Mailing address
PO BOX 95590, ALBUQUERQUE, NM 87199-5590
(505) 503-8806
(888) 503-8511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2012-0694
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD2012-0694
NM STATE LICENSE
NM
Enumeration date
05/03/2010
Last updated
10/10/2017
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