Individual
CAITLYN MONTANA DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
431 CALLE VALLE SERRANO, BERNALILLO, NM 87004-9705
(970) 394-0470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2020-0051
NM
363AM0700X
Medical Physician Assistant
PA2020-0051
NM
Other
Enumeration date
01/13/2020
Last updated
08/06/2024
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