Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003127473 |
---|---|
Provider Name | Ms. Ramona Floyd |
First Address | Albuquerque, NM 87107-3752 |
Second Address | Albuquerque, NM 87107-3752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2010 |
Last Update Date | 22/07/2010 |