Individual
LORETTA KANAPILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(505) 925-4353
Mailing address
618 MANZANO ST NE, ALBUQUERQUE, NM 87110-6302
(505) 925-4353
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
07/29/2015
Last updated
08/12/2019
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