Individual
DR. BREANNA LOGUERCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87107-7018
(505) 344-9129
Mailing address
1421 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87107-7018
(505) 344-9129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007511
NM
Other
Enumeration date
06/08/2013
Last updated
06/08/2013
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