Individual
ALFREDO CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BMS
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507
(505) 471-5006
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
03/08/2016
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