SOPHEAP LY

ALBUQUERQUE, NM
NPI1578431938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  88139)
Enumeration Date2025-10-28
Last Update Date2026-03-24
Business Address
SOPHEAP LY
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1125
Mailing Address
SOPHEAP LY
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: