Individual
DR. TRENTON TYLER SENSIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
465 SAINT MICHAELS DR STE 116, SANTA FE, NM 87505
(505) 913-4260
Mailing address
126 S 6TH ST, MOUNT VERNON, WA 98274-3905
(206) 455-5584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A-2200-18
NM
Other
Enumeration date
07/23/2012
Last updated
03/13/2019
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