Individual
ELENA NIKOLE GANDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE S2 TOWER F, ALBUQUERQUE, NM 87106-4930
(575) 841-1995
(505) 841-1373
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 841-1995
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
MD2024-0518
NM
Other
Enumeration date
04/16/2019
Last updated
07/16/2024
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