Individual
MARIANNE TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4301
(505) 272-3120
(505) 272-8060
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4301
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156003005
—
NM
Enumeration date
06/24/2026
Last updated
06/24/2026
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