Individual
KRISTEN ENCINIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 MONTEZUMA ST, LAS VEGAS, NM 87701-3520
(505) 429-9996
Mailing address
1114 MONTEZUMA ST, LAS VEGAS, NM 87701-3520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
09413
NM
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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