Individual
MRS. WINTER E FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2539 MORNINGSIDE DR NE, ALBUQUERQUE, NM 87110-3815
(505) 450-7291
Mailing address
8401 SPAIN RD NE APT 45C, ALBUQUERQUE, NM 87111-2090
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
5377
NM
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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