Organization
BERNALILLO PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL CANDELARIA (MEDICAID IN THE SCHOOLS)
(505) 404-5716
Entity
Organization
Contact information
Practice address
560 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5803
(505) 867-2317
Mailing address
560 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5803
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
3456
NM
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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