OrganizationActive
Breastfeeding Resources
NPI 1063565554 · Customized Equipment (DME) · Albuquerque, NM
Provider details
- NPI number
- 1063565554
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Jacqueline Coryell, Owner(505) 293-5215
Specialties & taxonomies
Suppliers
Practice location
8801 Lagrima De Oro Rd Ne
Albuquerque, NM 87111-2354
Phone: (505) 293-5215
Fax: (505) 237-1542
Approximate (ZIP-level) locationGet directions
Mailing address
8801 Lagrima De Oro Rd Ne
Albuquerque, NM 87111-2354
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.