Individual
KHADIJAH BOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-5566
(505) 832-7141
Mailing address
900 VALENCIA DR SE APT 8, ALBUQUERQUE, NM 87108-5505
(575) 691-9299
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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