Individual
SUSAN M EICHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, LMT
Contact information
Practice address
1264 RODEO RD, SANTA FE, NM 87505-6816
(505) 982-2129
Mailing address
601 W SAN MATEO RD APT 128, SANTA FE, NM 87505-3950
(505) 776-2112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22678
NM
164X00000X
Licensed Vocational Nurse
22678
NM
225700000X
Massage Therapist
6438
NM
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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