Individual
IVY MARIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 YALE BLVD SE BLDG F, ALBUQUERQUE, NM 87106-4228
(505) 379-1509
Mailing address
1128 2ND ST NW, ALBUQUERQUE, NM 87102-2218
(505) 764-8291
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
09/22/2021
Last updated
06/18/2024
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