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Individual

KRISTINA HAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4705 MONTGOMERY BLVD NE STE 201, ALBUQUERQUE, NM 87109-1233
(505) 888-0443
(505) 888-1398
Mailing address
11300 EAGLE ROCK AVE NE, ALBUQUERQUE, NM 87122-4112
(505) 314-6043

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2013-0088
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
97506044
NM
Enumeration date
01/21/2014
Last updated
06/18/2018
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