Individual
MS. EVELYN MARIE BLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Mailing address
PO BOX 61, PERALTA, NM 87042-0061
(505) 710-7848
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L18582
NM
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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