Individual
LIANA CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 CONSTITUTION AVE NE BLDG D, ALBUQUERQUE, NM 87110-7613
(505) 291-2442
Mailing address
8300 CONSTITUTION AVE NE BLDG D, ALBUQUERQUE, NM 87110-7613
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R63105
NM
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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