Most Relevant Information
Provider Data
| NPI Number: | 1003392242 |
| Provider Name: | FELISHA LEYBA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2018 |
| Last Updated: | 07/11/2018 |
Provider Practice Location
707 BROADWAY BLVD NE
ALBUQUERQUE
NM
871022360
Practice Location Phone/Fax
| Phone: | 5053458471 |
| Fax: |
Provider Mailing Location
707 BROADWAY BLVD NE
ALBUQUERQUE
NM
871022360
Provider Mailing Phone/Fax
| Phone: | 5053458471 |
| Fax: |