KRISTINA BALANGUE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****62

NOT RENEWED

N

MD

KRISTINA

BALANGUE

KRISTINA BALANGUE MD

04/08/2009

08/01/2011

07/31/2014

FARMINGTON

NM

87401

NEW MEXICO

PRACTITIONER

II III IV V

N

05/05/2014