Individual
LENYA REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1494 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 983-7276
Mailing address
1494 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 983-7276
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
90021R
NM
363AM0700X
Medical Physician Assistant
Primary
83-PA-0132
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94235
—
NM
Enumeration date
04/04/2008
Last updated
04/04/2008
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