Individual
EVAGGELOS KLONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6276
(505) 288-3893
Mailing address
6019 FULL MOON AVE NW, ALBUQUERQUE, NM 87114-3935
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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