LENORA MICHELLE MATHES

RIO RANCHO, NM
NPI1013259076
Other NameMIKI MATHES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NM  MD2018-0449)
Additional Taxonomies2084S0012X Psychiatry & Neurology, Sleep Medicine
(Licence: NM  MD2018-0449)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NM  RS2013-0429)
Enumeration Date2013-03-17
Last Update Date2022-01-13
Business Address
Ms. LENORA MICHELLE MATHES MD
2400 UNSER BLVD SE STE 08200
RIO RANCHO, NM 87124-4740
Phone number: 505-823-8777
Mailing Address
Ms. LENORA MICHELLE MATHES MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770