Individual
DARYL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1966
(505) 269-6930
Mailing address
2929 COORS BLVD NW STE 201M, ALBUQUERQUE, NM 87120-1279
(505) 269-6930
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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