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Organization

NATIVA MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA SIOW PA (PA)
(505) 582-4246
Entity
Organization

Contact information

Practice address
1014 HUMMINGBIRD PL SW, ALBUQUERQUE, NM 87105-8130
(505) 582-4246
Mailing address
1014 HUMMINGBIRD PL SW, ALBUQUERQUE, NM 87105-8130
(505) 582-4246

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194170606
NM
Enumeration date
01/28/2019
Last updated
07/02/2020
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