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Individual

CHLOE HIGASHIDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
Mailing address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-87311
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17757851
NM
Enumeration date
01/09/2019
Last updated
01/09/2019
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