Individual
DR. KELLYN MARIE WENDT-WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2120 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-5402
(505) 200-3234
Mailing address
2120 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-5402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
059265
NY
183500000X
Pharmacist
Primary
RP00008294
NM
Other
Enumeration date
07/10/2014
Last updated
02/23/2015
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