Individual
LESLEY RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 EUBANK BLVD NE, ALBUQUERQUE, NM 87112-4112
(505) 844-6233
Mailing address
6836 METE SOL DR NW, ALBUQUERQUE, NM 87120-4325
(505) 280-7640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
67746
NM
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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