Amezcua, Dezideria Angelica
Amezcua, Dezideria Angelica is an individual health care provider with primary practice located at 2301 Yale Blvd Se , Albuquerque NM 87106-4228. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Amezcua, Dezideria Angelica can be contacted via phone (505) 206-9574.Contact Information
Primary practice address
2301 Yale Blvd Se
Albuquerque NM 87106-4228
Phone: (505) 206-9574
Fax: (505) 925-4354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | New Mexico |
Profile Details
| NPI number | 1588179527 |
|---|---|
| LBN Legal business name | Amezcua, Dezideria Angelica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2017 |
| Last updated | Sep 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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