Individual
MICA RYE DE SOUSA DORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 MARBLE AVE NE, ALBUQUERQUE, NM 87106
(505) 272-1936
Mailing address
HEALTH SCIENCES CENTER, MSC09 5300, 1 UNIVERSITY OF NEW, ALBUQUERQUE, NM 87131
(505) 272-1936
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1381
NM
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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