| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1013668367 | KENEBREW | SIERRA | ANYSSA | 630 HAINES AVE NW | ALBUQUERQUE | NM | 871021226 | |
| 1518536606 | LAYTON | KIM | MARIA | 630 HAINES AVE NW | ALBUQUERQUE | NM | 871021226 | |
| 1154992519 | ORTEGA | NICHOLAS | RUBEN | 630 HAINES AVE NW | ALBUQUERQUE | NM | 871021226 | |
| 1366031411 | TANGUMA | BRENDA | ANN | 630 HAINES AVE NW | ALBUQUERQUE | NM | 871021226 |