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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407909997 NPPES
New Mexico MEDICAID 89502051

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