Unm Cdd - Mi Via
NPI #1194060053 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1194060053
- Entity Type
- Organization
- Organization Name
- Unm Cdd - Mi Via
- Primary Specialty
- Contractor - Home Modifications
- Enumeration Date
- Dec 4, 2012
- Last Updated
- Dec 4, 2012
Practice Location
- Address
- 2300 MENAUL BLVD NE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87107-1851
- Phone
- (505) 272-6251
Authorized Official
- Name
- BRIAN GALLEGOS
- Title
- ADMINISTRATIVE SUPPORT SUPERVISOR
- Phone
- (505) 272-6251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Home Modifications — Home Modifications |
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