Individual
MS. DEZEREE DANIELLE JENNINGS-ALBALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 268-5295
Mailing address
5601 DOMINGO RD NE, ALBUQUERQUE, NM 87108-1610
(505) 998-0045
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
10/14/2016
Last updated
11/08/2019
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