Individual
MARIAH BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3630 LAS ESTANCIAS DR SW, ALBUQUERQUE, NM 87121-5504
(505) 462-7777
Mailing address
517 E NIZHONI BLVD, GALLUP, NM 87301-5757
(760) 217-3898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2021-0107
NM
Other
Enumeration date
11/18/2021
Last updated
07/20/2023
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