Individual
MRS. LESLIE JADE ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 980-1743
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2025-0266
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2014
Last updated
04/10/2025
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