Individual
AMANDA N RODELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4630 JEFFERSON LANE NE, ALBUQUERQUE, NM 87109
(505) 633-4141
Mailing address
8100 WYOMING BLVD NE, SUITE M4 #308, ALBUQUERQUE, NM 87113-5837
(505) 633-4141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2021-0101
NM
Other
Enumeration date
11/16/2021
Last updated
01/15/2024
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