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Contact Information

INNOVA VEIN AND VASCULAR LLC
4600 MONTGOMERY BLVD NE # B
SUITE 100
ALBUQUERQUE, NM87109-1210
 Phone: 719-320-3691
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebology

202K00000X
Indicates primary specialty

NPI Profile & details for INNOVA VEIN AND VASCULAR LLC · (Female)

NPI # 1013398437
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2015
Last updated 06/11/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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