Individual
MRS. ANN BANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9214 REDMONT RD NE, ALBUQUERQUE, NM 87109-6815
(505) 379-8699
Mailing address
9214 REDMONT RD NE, ALBUQUERQUE, NM 87109-6815
(505) 379-8699
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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