Organization
360CAREXLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHEL UBOCHI NP (OWNER, NP)
(920) 850-8549
Entity
Organization
Contact information
Practice address
11000 CANDELARIA RD NE STE 109E, ALBUQUERQUE, NM 87112-1700
(505) 527-0475
Mailing address
11000 CANDELARIA RD NE, ALBUQUERQUE, NM 87112-1751
(505) 527-0475
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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