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Corky St. James, LADAC

NPI 1952659658 · on the registry since 2012 · sole proprietor

Practice

Address
3150 Carlisle Blvd Ne
22
Albuquerque, NM 87110
Phone
(505) 830-6030
Fax
(505) 830-6031
Organisation at this address
Ravensnow L.L.C.
Su Vida Services, Inc.
H And W Associates, Llc
Umoja Behavioral Health
Laurie Mendiola, Cnp,Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico