Individual
JEANETTE LEDOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT 4468
Contact information
Practice address
2800 SAN MATEO BLVD NE, SUITE 106, ALBUQUERQUE, NM 87110-3135
(505) 884-9500
Mailing address
2800 SAN MATEO BLVD NE, SUITE 106, ALBUQUERQUE, NM 87110-3135
(505) 884-9500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4468
NM
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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