Individual
WANNI ZHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 4TH ST NW, ALBUQUERQUE, NM 87107-2423
(505) 994-5309
Mailing address
3401 4TH ST NW, ALBUQUERQUE, NM 87107-2423
(505) 994-5309
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
1567
NM
Other
Enumeration date
06/05/2019
Last updated
11/16/2019
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