Individual
ELISA BABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
07/20/2022
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