Individual
DEANN NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001B EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105
(505) 272-5786
Mailing address
2001B EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4556
(505) 272-5786
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NM
Other
Enumeration date
05/31/2018
Last updated
06/22/2018
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