Medrano, Traci

Medrano, Traci is an individual health care provider with primary practice located at 4841 Tramway Ridge Dr Ne , Albuquerque NM 87111-2787. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Medrano, Traci can be contacted via phone (877) 499-1354.

Contact Information

Primary practice address
4841 Tramway Ridge Dr Ne Albuquerque NM 87111-2787
Fax: (888) 636-1795
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSA0213231 New Mexico

Profile Details

NPI number 1124747944
LBN Legal business name Medrano, Traci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2022
Last updated Aug 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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