Most Relevant Information
Provider Data
NPI Number: | 1003634213 |
Provider Name: | SPRING LEHERISSEY |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 09/27/2024 |
Last Updated: | 09/27/2024 |
Provider Practice Location
203 CALIFORNIA ST NE
ALBUQUERQUE
NM
871081802
Practice Location Phone/Fax
Phone: | 5053088296 |
Fax: |
Provider Mailing Location
203 CALIFORNIA ST NE
ALBUQUERQUE
NM
871081802
Provider Mailing Phone/Fax
Phone: | 5053088296 |
Fax: |