Individual
MR. WALTER ANTHONY BLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAAGER
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 220-3754
(505) 994-0209
Mailing address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 220-3754
(505) 994-0209
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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