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Individual

ANTONIO SENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 FRIEDMAN AVE, LAS VEGAS, NM 87701-4231
(505) 454-5100
Mailing address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-5100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B05270
NM

Other

Enumeration date
09/11/2009
Last updated
09/11/2009
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