Individual
DR. JULIE ELIZABETH KLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
622 W MAPLE ST, SUITE E, FARMINGTON, NM 87401-6590
(505) 325-4003
(505) 327-6140
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 246-2622
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2477
CO
152W00000X
Optometrist
Primary
577
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42682045
—
CO
05
—
76524230
—
NM
Enumeration date
04/18/2006
Last updated
07/25/2012
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