Individual
CHRIS HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 449-8240
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN-22521
NM
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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