Individual
TRAM LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4161
(505) 272-2776
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4161
(505) 272-2776
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
05/04/2020
Last updated
03/27/2023
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