Individual
ETHAN RYAN ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 4TH ST NW, ALBUQUERQUE, NM 87107-3902
(505) 344-1390
Mailing address
6500 AMERICAS PKWY NE APT 4041, ALBUQUERQUE, NM 87110-5452
(575) 644-4950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010216
NM
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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