Candelaria Archuleta, Leticia
Candelaria Archuleta, Leticia is an individual health care provider with primary practice located at 4500 Comanche Rd Ne Mckinley Ms, Albuquerque NM 87110-1176. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Candelaria Archuleta, Leticia can be contacted via phone (505) 881-9390.Contact Information
Primary practice address
4500 Comanche Rd Ne Mckinley Ms
Albuquerque NM 87110-1176
Phone: (505) 881-9390
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | M05560 | New Mexico |
Profile Details
NPI number | 1407909997 |
---|---|
LBN Legal business name | Candelaria Archuleta, Leticia |
Credentials | SW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 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 | 1407909997 | NPPES |
New Mexico | MEDICAID | 89502051 |
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