Individual
MS. LORRAINE A. CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 ARNO ST SE, ALBUQUERQUE, NM 87102-3958
(505) 269-3131
Mailing address
1217 1ST ST NW, PO BOX 25445, ALBUQUERQUE, NM 87102-1529
(505) 767-1131
(505) 246-7647
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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