Most Relevant Information
Provider Data
| NPI Number: | 1003665076 |
| Provider Name: | RYAN MCNAMARA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/14/2024 |
| Last Updated: | 05/21/2024 |
Provider Practice Location
1050 HIGHWAY 314 NE
LOS LUNAS
NM
870318506
Practice Location Phone/Fax
| Phone: | 5059446626 |
| Fax: |
Provider Mailing Location
10123 HIGH RANGE RD SW
ALBUQUERQUE
NM
871212145
Provider Mailing Phone/Fax
| Phone: | 8313343525 |
| Fax: |