Individual
MRS. JENNIFER CRISTEN PENA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
201 HERMOSA DR NE, ALBUQUERQUE, NM 87108-1023
(505) 803-5353
Mailing address
201 HERMOSA DR NE, ALBUQUERQUE, NM 87108-1023
(505) 803-5353
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6541
NM
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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