Individual
MS. KRISTINA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED
Contact information
Practice address
805 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3099
(505) 977-4331
(505) 242-1551
Mailing address
805 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3099
(505) 977-4331
(505) 242-1551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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