Individual
MS. ROXANN MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
(505) 248-1351
Mailing address
PO BOX 27258, ALBUQUERQUE, NM 87125-7258
(505) 764-8231
(505) 248-1351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
261QM0801X
NM
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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