Individual
HERIBERTA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCHW
Contact information
Practice address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-6928
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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