Individual
ANGELA BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2701 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-3300
(505) 507-0430
Mailing address
96 SANDIA MOUNTAIN RANCH DR, TIJERAS, NM 87059-7366
(505) 507-0430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5769
NM
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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