Individual
DR. REBECCA VAN VLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12501 MONARCH DR NE, ALBUQUERQUE, NM 87123-1542
(505) 259-5022
Mailing address
12501 MONARCH DR NE, ALBUQUERQUE, NM 87123-1542
(505) 259-5022
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP00008172
NM
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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