Individual
MRS. DONNA JO ARCHULETA-LASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
(575) 838-0150
Mailing address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
(575) 838-0150
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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