Individual
DR. SUSAN M PISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1651 GALISTEO ST STE 12, SANTA FE, NM 87505-2113
(505) 660-8589
Mailing address
3 PASILLO CHICO, SANTA FE, NM 87508-9581
(505) 660-8589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC1234
NM
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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