Individual
LATRICIA LYNELLE REDHAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MEDICAL ARTS AVE NE BLDG 3, ALBUQUERQUE, NM 87102-2722
(505) 860-0433
Mailing address
1101 MEDICAL ARTS AVE NE BLDG 3, ALBUQUERQUE, NM 87102-2722
(505) 860-0433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0436
NM
Other
Enumeration date
06/20/2023
Last updated
07/05/2023
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