SOPHEAVY S PRAK

ALBUQUERQUE, NM
NPI1841241189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  R37588)
Enumeration Date2006-05-12
Last Update Date2007-07-08
Business Address
-- SOPHEAVY S PRAK CFNP
4808 MCMAHON BLVD NW
ALBUQUERQUE, NM 87114-5010
Phone number: 505-272-2900
Mailing Address
-- SOPHEAVY S PRAK CFNP
99 CIELO AZUL
CORRALES, NM 87048-9631
Phone number: 505-890-6509
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