Individual
ERLINDA M CONCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 PINSBARRI RD, PUEBLO OF ACOMA, NM 87034-0256
(505) 552-5145
Mailing address
PO BOX 256, PUEBLO OF ACOMA, NM 87034-0256
(505) 552-5145
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172V00000X
—
NM
Enumeration date
12/02/2022
Last updated
12/02/2022
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