Individual
STEPHANIE PINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1614
(505) 255-9971
(505) 255-9971
Mailing address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1614
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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