Individual
RITA CANCHUCAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 EUBANK BLVD SE, ALBUQUERQUE, NM 87123-3453
(505) 845-8159
Mailing address
3204 BLUME ST NE, ALBUQUERQUE, NM 87111-4951
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN-70138
NM
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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