Individual
THOMAS SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
204 MEZCAL CIR NW, ALBUQUERQUE, NM 87105-1825
(505) 363-1348
Mailing address
204 MEZCAL CIR NW, ALBUQUERQUE, NM 87105-1825
(505) 363-1348
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
12/10/2024
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