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Individual

ANA MARIA BARDALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10157 ALDER DR NW, ALBUQUERQUE, NM 87114-4743
(505) 440-4772
Mailing address
10157 ALDER DR NW, ALBUQUERQUE, NM 87114-4743
(505) 440-4772

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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