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Individual

LOUANNE PADILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6565 AMERICAS PKWY #200, ALBUQUERQUE, NM 87110
(505) 273-7799
Mailing address
7112 KEEL AVE NW, ALBUQUERQUE, NM 87120
(505) 440-5003

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
508939833
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FLM265038
AUIC.ORG CORE HEALTH INSURANCE
NM
Enumeration date
12/30/2016
Last updated
12/30/2016
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