Individual
CAROLINE TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 COORS BLVD NW STE 307E, ALBUQUERQUE, NM 87120-1173
(505) 480-2692
Mailing address
2929 COORS BLVD NW STE 307E, ALBUQUERQUE, NM 87120-1173
(505) 480-2692
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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