Individual
KEISHLA RIVERA-LOURIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Mailing address
1437 32ND CIR SE, RIO RANCHO, NM 87124-1911
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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