Individual
KEYANNA J CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-1680
(505) 633-8173
Mailing address
4142 MESA VERDE AVE NE APT 4, ALBUQUERQUE, NM 87110-7789
(505) 850-4212
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/24/2022
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