Individual
MS. CHARITY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6104 DUNGAN ST NE, ALBUQUERQUE, NM 87109-3650
(505) 410-5098
Mailing address
6104 DUNGAN ST NE, ALBUQUERQUE, NM 87109-3650
(505) 410-5098
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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