Individual
DONNA LEONORA CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1721 RIO RANCHO BLVD SE, ALBUQUERQUE, NM 87124-1570
(505) 896-8610
(505) 896-8618
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
70254
NM
363LF0000X
Family Nurse Practitioner
Primary
70254
NM
Other
Enumeration date
10/18/2022
Last updated
09/13/2024
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