Organization
THOMAS SPENCER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN QUINTANA (BILLER)
(505) 999-0203
Entity
Organization
Contact information
Practice address
505 CAMINO DE LOS MARQUEZ, SANTA FE, NM 87505-1837
(505) 257-6868
Mailing address
PO BOX 22998, SANTA FE, NM 87502-2998
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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