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Organization

VIZIONZ-SANKOFA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHADIJAH ASILI BOTTOM (FOUNDER/DIRECTOR)
(505) 832-7141
Entity
Organization

Contact information

Practice address
5400 GIBSON BLVD SE, BUILDING 11, ALBUQUERQUE, NM 87108
(505) 832-7141
Mailing address
5400 GIBSON BLVD SE STE 9, ALBUQUERQUE, NM 87108-5181
(505) 832-7141

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/11/2025
Last updated
11/12/2025
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