Most Relevant Information
Provider Data
| NPI Number: | 1003241092 |
| Provider Name: | DAPHNE THAYER BARRETT LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | 7312 |
Most Important Dates
| Enumeration Date: | 09/09/2013 |
| Last Updated: | 09/09/2013 |
Provider Practice Location
4263 MONTGOMERY BLVD NE
SUITE 200
ALBUQUERQUE
NM
871096747
Practice Location Phone/Fax
| Phone: | 5058723100 |
| Fax: |
Provider Mailing Location
901 ORTEGA RD NW
LOS RANCHOS
NM
871141417
Provider Mailing Phone/Fax
| Phone: | 5052634236 |
| Fax: |