Individual
KATINA SAMIRA KASSICIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 105550, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
(505) 272-0475
Mailing address
1 UNIVERSITY OF NEW MEXICO MSC10 6000, ALBUQUERQUE, NM 87131-0001
(505) 272-2610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
04/06/2022
Last updated
07/12/2024
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