Individual
BAKHTAR EHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(831) 325-3541
Mailing address
2701 SAN PEDRO DR NE STE 14, ALBUQUERQUE, NM 87110-3399
(831) 325-3541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/25/2024
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