Individual
MARILYN MAI TING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 W. DON DIEGO AVE, SANTA FE, NM 87505
(505) 820-1200
Mailing address
1037 W. DON DIEGO AVE, SANTA FE, NM 87505
(505) 820-1200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81-130
NM
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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