Most Relevant Information
Provider Data
| NPI Number: | 1003516303 |
| Provider Name: | JAMIE LONGBOTTOM |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/06/2023 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
2301 YALE BLVD SE # F
ALBUQUERQUE
NM
871064228
Practice Location Phone/Fax
| Phone: | 5055955199 |
| Fax: |
Provider Mailing Location
2301 YALE BLVD SE # F
ALBUQUERQUE
NM
871064228
Provider Mailing Phone/Fax
| Phone: | 5055955199 |
| Fax: |