Individual
EILLIM DE JESUS RENTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 ALAMEDA BLVD NE UNIT 1051, ALBUQUERQUE, NM 87113-2583
(787) 409-3780
Mailing address
PO BOX 92052, ALBUQUERQUE, NM 87199-2052
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP00008971
NM
Other
Enumeration date
04/20/2019
Last updated
04/20/2019
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