Individual
MELANIE T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #6275
Contact information
Practice address
1300 SUNSET RD SW, ALBUQUERQUE, NM 87105-4008
(505) 414-4810
Mailing address
1300 SUNSET RD SW, ALBUQUERQUE, NM 87105-4008
(505) 414-4810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6275
NM
Other
Enumeration date
01/07/2009
Last updated
04/07/2009
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