Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 77-289 | NM |
NPI | 1184952061 |
---|---|
Provider Name | Dr. Joan Cecile Voute |
First Address | Albuquerque, NM 87105-3014 |
Second Address | Albuquerque, NM 87105-3014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2009 |
Last Update Date | 03/12/2009 |