Individual
SAGELINE LABAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC10 5000 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-2719
(505) 272-3414
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2023-1224
NM
Other
Enumeration date
10/14/2021
Last updated
07/01/2025
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