Avendano, Maria Lydia
Avendano, Maria Lydia is an sole proprietor health care provider with primary practice located at 6910 Natalie Ave Ne Cleveland Ms, Albuquerque NM 87110-1323. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Avendano, Maria Lydia can be contacted via phone (505) 881-9227.Contact Information
Primary practice address
6910 Natalie Ave Ne Cleveland Ms
Albuquerque NM 87110-1323
Phone: (505) 881-9227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | I 3413 | New Mexico |
Profile Details
| NPI number | 1821214610 |
|---|---|
| LBN Legal business name | Avendano, Maria Lydia |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821214610 | NPPES |
| New Mexico | MEDICAID | J 5887 |
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