Individual provider · NPI-1
Angela Borrego, RD
Dietitian, Registered · Espanola, NM
NPI number1023493350
StatusActive
Last updated in NPPESJul 28, 2015
Details
- NPI
- 1023493350
- Entity type
- Individual (NPI-1)
- Name
- Angela Borrego
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2015
- Last updated
- Jul 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-0994 | NM | Yes |
Practice location
748a Brown StEspanola, NM 87532-3648
Phone 505-927-7282
Mailing address
748a Brown StEspanola, NM 87532-3648
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