Organization
NIZZLEFOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL JASEWICZ (OWNER)
(406) 309-6462
Entity
Organization
Contact information
Practice address
1209 MOUNTAIN ROAD PL NE STE N, ALBUQUERQUE, NM 87110-7825
(406) 309-6462
Mailing address
1209 MOUNTAIN ROAD PL NE STE N, ALBUQUERQUE, NM 87110-7825
(406) 309-6462
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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