Individual
PATRICIA REGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 312-7296
Mailing address
PO BOX 12455, ALBUQUERQUE, NM 87195-0455
(505) 312-7296
(505) 554-1620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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