Most Relevant Information
Provider Data
| NPI Number: | 1003590175 |
| Provider Name: | TABATHA GLERUP |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2023 |
| Last Updated: | 06/09/2023 |
Provider Practice Location
1207 GOLF COURSE RD SE STE C
RIO RANCHO
NM
871245213
Practice Location Phone/Fax
| Phone: | 5059944100 |
| Fax: | 5059941229 |
Provider Mailing Location
1207 GOLF COURSE RD SE STE C
RIO RANCHO
NM
871245213
Provider Mailing Phone/Fax
| Phone: | 5059944100 |
| Fax: | 5059941229 |