Individual
KAYLEEN RENEE VAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1515 EUBANK BLVD SE BLDG 831832, ALBUQUERQUE, NM 87123-3453
(505) 844-4237
(505) 844-4091
Mailing address
1515 EUBANK BLVD SE BLDG 831832, ALBUQUERQUE, NM 87123-3453
(505) 844-4237
(505) 844-4091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
542
NM
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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