Provider Demographics
NPI:1194861658
Name:WELCH, CLAUDIA (DOM)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:WELCH
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1291
Mailing Address - Street 2:
Mailing Address - City:TIJERAS
Mailing Address - State:NM
Mailing Address - Zip Code:87059-1291
Mailing Address - Country:US
Mailing Address - Phone:505-259-7237
Mailing Address - Fax:
Practice Address - Street 1:7120 4TH ST NW
Practice Address - Street 2:
Practice Address - City:LOS RANCHOS DE ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-6642
Practice Address - Country:US
Practice Address - Phone:505-259-7237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM511171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist