Search › New Mexico › 101YA0400X

Juan Blea, M.ED. LADAC

NPI 1093042350 · on the registry since 2009 · sole proprietor

Practice

Address
2442 Cerrillos Rd # 195
Santa Fe, NM 87505
Phone
(505) 795-0588

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-11-06

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