Individual
MR. DANIEL GLEN KIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 AMBASSADOR RD NE APT 206, ALBUQUERQUE, NM 87112-2749
(505) 489-4858
Mailing address
2201 AMBASSADOR RD NE APT 206, ALBUQUERQUE, NM 87112-2749
(505) 489-4858
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7493
NM
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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