Rita Wormwood

NPI #1891843264 in Albuquerque, New Mexico

Provider Information

NPI Number
1891843264
Entity Type
Individual
Name
Rita Wormwood
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Jan 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3212 MONTE VISTA BLVD NE
ZIP Code
87106-2120
Phone
(505) 553-4400

Specialties & Taxonomy Codes

Specialty
Contractor

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