Individual
CHRISTINE CARLOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3917 WEST RD, SUITE 250, LOS ALAMOS, NM 87544-2275
(505) 662-4412
Mailing address
3917 WEST RD, SUITE 250, LOS ALAMOS, NM 87544-2275
(505) 662-4412
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
82174
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27037
—
NM
Enumeration date
03/16/2006
Last updated
07/08/2007
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