Individual
JOSHUA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 204-9258
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 204-9258
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1134
NM
175T00000X
Peer Specialist
1134
NM
Other
Enumeration date
07/20/2021
Last updated
11/23/2021
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