Individual
KESHIA R DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(066) 628-4188
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(806) 662-8418
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
02/02/2023
Last updated
01/29/2025
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