Individual
ANGELA NICOLE NICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 CARMEL AVE NE STE 601, ALBUQUERQUE, NM 87122-3125
(505) 677-8842
(505) 717-1539
Mailing address
6700 CANTATA ST NW UNIT 2802, ALBUQUERQUE, NM 87114-6355
(505) 715-8056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010176
NM
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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