Individual
CHRISSA A CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2019 GALISTEO ST, G-2, SANTA FE, NM 87505-2143
(505) 699-7199
Mailing address
8 PASILLO CHICO, SANTA FE, NM 87508-9577
(505) 699-7199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4432
NM
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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