Leslie J Archuleta

NPI #1053712190 in Albuquerque, New Mexico

Provider Information

NPI Number: 1053712190
Entity Type: Organization
Organization Name: Leslie J Archuleta
Primary Specialty: Nutritionist
Enumeration Date: Sep 9, 2014
Last Updated: Apr 15, 2015

Practice Location

Address: 100 SUN AVE NE
Address 2: STE 650
City: Albuquerque
State: New Mexico
ZIP Code: 87109-4659
Phone: (505) 980-1743

Authorized Official

Name: MRS. LESLIE JADE ARCHULETA, L.N
Title: LICENSED NUTRITIONIST
Phone: (505) 980-1743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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