Individual
MR. BLAINE L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
(505) 243-2257
Mailing address
10419 SAN GREGORIO DR NW, ALBUQUERQUE, NM 87114-4761
(505) 890-8231
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A-0851
NM
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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