Individual
MS. CONNIE L KOSHEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M, C.P.M
Contact information
Practice address
123 WELLESLEY DR SE, ALBUQUERQUE, NM 87106-1443
(505) 266-5762
(505) 268-7500
Mailing address
21 GARDEN PARK CIR NW, ALBUQUERQUE, NM 87107-2655
(505) 293-1147
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
04008R
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97423882
—
NM
Enumeration date
01/01/2007
Last updated
07/09/2007
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