Individual
JOELLE LEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3741 RUTLEDGE RD NE, ALBUQUERQUE, NM 87109-5566
(505) 798-9300
Mailing address
502 LACIMA RD, GALLUP, NM 87301-5739
(617) 216-1398
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
844
NM
367A00000X
Advanced Practice Midwife
RN270093
MA
Other
Enumeration date
04/30/2015
Last updated
01/03/2025
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