Individual
MS. CHANTE DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 YALE BLVD NE, ALBUQUERQUE, NM 87106-3825
(505) 373-0371
(505) 272-0376
Mailing address
1001 YALE BLVD NE, ALBUQUERQUE, NM 87106-3825
(505) 272-0371
(505) 272-0376
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R47778
NM
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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