Individual
CORINTHIANN VIOLA SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
(505) 727-9590
Mailing address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2019-0028
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55508251
—
NM
Enumeration date
06/13/2019
Last updated
04/19/2023
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