Individual
MISS ANJANI SUSANNA ZIZNEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
44 GOLD MINE RD, CERRILLOS, NM 87010-9700
(505) 920-5202
Mailing address
PO BOX 178, CERRILLOS, NM 87010-0178
(505) 920-5202
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6390
NM
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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