Individual
CODY EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
400 GOLD AVE SW STE 1060, ALBUQUERQUE, NM 87102-3263
(305) 450-9651
(305) 450-9651
Mailing address
400 GOLD AVE SW STE 1060, ALBUQUERQUE, NM 87102-3263
(305) 450-9651
(305) 450-9651
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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