Individual
MELISSA DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2800
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
55778
NM
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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