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Individual

JEANINE MARIE ARCHULETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1740 GRANDE BLVD SE, ALBUQUERQUE, NM 87124-1799
(505) 359-3586
Mailing address
1740 GRANDE BLVD SE, ALBUQUERQUE, NM 87124-1799
(505) 359-3586

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
02/19/2026
Last updated
02/19/2026
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