Individual
MR. CHARLES M MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 JUAN TABO BLVD NE, #114, ALBUQUERQUE, NM 87112-1886
(505) 296-1898
Mailing address
2901 JUAN TABO BLVD NE, #114, ALBUQUERQUE, NM 87112-1886
(505) 296-1898
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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