Individual
MONICA TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-7090
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-7090
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
799
NM
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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