Individual
RITA MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 252-8831
Mailing address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 252-8831
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2087
NM
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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