Individual
JENNIFER PASTRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 RIO GRANDE BLVD NW STE H160, ALBUQUERQUE, NM 87104-2063
(505) 278-0807
Mailing address
901 RIO GRANDE BLVD NW STE H160, ALBUQUERQUE, NM 87104-2063
(505) 278-0807
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
INTERN
NM
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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