Individual
LEONARD LEYBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
9 SANTA BARBARA RD, VADITO, NM 87579-9726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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