Individual
DR. FERNANDO LEANOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
195 PASEO DE PERALTA, SANTA FE, NM 87501-1857
(505) 982-8787
Mailing address
2924 CUTLER AVE NE, ALBUQUERQUE, NM 87106-1715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009054
NM
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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