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Individual

JOANNA ARCHULETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
1741 STATE ROAD 75 SPC 1, VADITO, NM 87579-9752

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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