Organization
LESLIE J ARCHULETA
Active
Organization
LESLIE J ARCHULETA
Active
Other names
Practical Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE JADE ARCHULETA L.N (LICENSED NUTRITIONIST)
(505) 980-1743
Entity
Organization
Contact information
Practice address
100 SUN AVE NE, STE 650, ALBUQUERQUE, NM 87109-4659
(505) 980-1743
Mailing address
100 SUN AVE NE, STE 650, ALBUQUERQUE, NM 87109-4659
(505) 835-6759
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LN-0959
NM
Other
Enumeration date
09/09/2014
Last updated
04/15/2015
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