Individual
JULIET ANNE D'ANGELO LABRECHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6100 PAN AMERICAN FREEWAY STE 450, PMG NORTHSIDE OBGYN, ALBUQUERQUE, NM 87109-3460
(505) 823-8787
(505) 823-8788
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2012-0219
NM
390200000X
Student in an Organized Health Care Education/Training Program
TL2869
CO
Other
Enumeration date
07/01/2008
Last updated
04/20/2015
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