Individual
MINDY ALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SNOW PL, TIJERAS, NM 87059-0072
(505) 818-5769
Mailing address
PO BOX 72, TIJERAS, NM 87059-0072
(505) 818-5769
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50926853
—
NM
Enumeration date
06/11/2015
Last updated
03/30/2016
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