Individual
KEISHA STREETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 SEQUOIA ROAD NW, ALBUQUERQUE, NM 87120
(505) 836-7330
(505) 836-7424
Mailing address
5310 SEQUOIA ROAD NW, ALBUQUERQUE, NM 87120
(505) 836-7330
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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