Individual
MR. STEVEN LEE DEANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
Mailing address
PO BOX 27258, ALBUQUERQUE, NM 87125-7258
(505) 764-8231
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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