Organization
AFRODITE FIORAVANTES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFRODITE FIORAVANTES (OWNER)
(505) 948-8901
Entity
Organization
Contact information
Practice address
6412 CATHY AVE NE, ALBUQUERQUE, NM 87109-3642
(505) 948-8901
Mailing address
6412 CATHY AVE NE, ALBUQUERQUE, NM 87109-3642
(505) 948-8901
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2374
NM
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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