Individual
UVA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
(505) 727-2369
Mailing address
10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0935
NM
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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