Organization
HORIZON ACADEMY WEST CHARTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE RAEL-BACA (HEALTH ASSISTANT)
(505) 998-0459
Entity
Organization
Contact information
Practice address
3021 TODOS SANTOS ST NW, ALBUQUERQUE, NM 87120-3601
(505) 998-0459
Mailing address
3021 TODOS SANTOS ST NW, ALBUQUERQUE, NM 87120-3601
(505) 998-0459
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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