Individual
PRISCILLA ASTORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 2ND ST NW, ALBUQUERQUE, NM 87107-4009
(505) 468-7155
(505) 462-9985
Mailing address
5100 2ND ST NW, ALBUQUERQUE, NM 87107-4009
(505) 468-7155
(505) 462-9985
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N5927
—
NM
Enumeration date
05/13/2015
Last updated
05/13/2015
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