Organization
ZIA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO MORAN (OWNER)
(505) 738-8942
Entity
Organization
Contact information
Practice address
881 LEAD AVE SE STE E, ALBUQUERQUE, NM 87102-4536
(505) 738-8942
Mailing address
881 LEAD AVE SE STE E, ALBUQUERQUE, NM 87102-4536
(505) 738-8942
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/02/2023
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