Individual
AMARA SYLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4523 SUNNINGDALE AVE NE, ALBUQUERQUE, NM 87110-5750
(505) 266-3915
Mailing address
12224 VICTORIA FALLS DR NE, ALBUQUERQUE, NM 87111-5437
(505) 261-2129
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/04/2009
Last updated
11/23/2009
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