Individual
OWEN PATRICK CONNELLY VAQUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC 10 6000, ALBUQUERQUE, NM 87131-0001
(505) 272-2321
Mailing address
221 CALLE THEBE, DORADO, PR 00646-4668
(787) 692-3930
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS-20240255
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/05/2020
Last updated
06/16/2024
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