Individual
VICTORIA JEWEL ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 SOUTH AVE K, STATION 3 SHROC, PORTALES, NM 88130
(800) 367-3668
Mailing address
1500 S AVENUE K, STATION 3 SHROC, PORTALES, NM 88130-7400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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