Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2443 BRACKLEY DR NW, ALBUQUERQUE, NM 87120-6217
(505) 278-0807
(806) 316-3182
Mailing address
2443 BRACKLEY DR NW, ALBUQUERQUE, NM 87120-6217
(806) 316-3182
(806) 316-3182
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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