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ANTI NELLY SOTO-HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4005 HIGH RESORT BLVD SE, ALBUQUERQUE, NM 87124-5906
(505) 462-6000
(505) 462-8470
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20030762
NM

Other

Enumeration date
11/18/2005
Last updated
12/26/2018
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