Individual
MR. EUGENE ANTHONY CHAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2728
Mailing address
1213 TRUMAN STREET SOUTH EAST, ALBUQUERQUE, NM 87108-4543
(505) 573-7856
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R45122
NM
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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