Individual
MISS ASHLEE MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1501 SAN PEDRO DRIVE SE (05), ALBUQUERQUE, NM 87108-9874
(505) 265-1711
Mailing address
1501 SAN PEDRO DRIVE SE (05), ALBUQUERQUE, NM 87108-9874
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00007608
NM
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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