Individual
OSMAN VARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 1/2 HARVARD DR SE, ALBUQUERQUE, NM 87106-3527
(505) 219-6679
Mailing address
402 1/2 HARVARD DR, ALBUQUERQUE, NM 87106
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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