Individual
JAN CISNEROS-NEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DN
Contact information
Practice address
2887 CLARK CT, SANTA FE, NM 87507-5179
(505) 629-1905
Mailing address
3201C ZAFARANO DR # 185, SANTA FE, NM 87507-2668
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
01032
NM
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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