Individual
MRS. KRYSTAL GRIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7007 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4450
(505) 303-0372
Mailing address
1529 PEPPOLI LOOP SE, RIO RANCHO, NM 87124-8775
(505) 303-0372
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
163456
NM
246XS1301X
Sonography Specialist/Technologist Cardiovascular
163456
NM
Other
Enumeration date
03/22/2023
Last updated
12/06/2024
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