Organization
PEANUT BUTTER AND JELLY FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA LOVATO BSW (TEACHER)
(505) 944-7224
Entity
Organization
Contact information
Practice address
209 SAN PABLO ST SE, ALBUQUERQUE, NM 87108-3103
(505) 944-7224
(505) 944-7229
Mailing address
209 SAN PABLO ST SE, ALBUQUERQUE, NM 87108-3103
(505) 944-7224
(505) 944-7229
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
154065
NM
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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