Individual
SUSANA R ENCISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
5035 JACKSBORO PIKE, KNOXVILLE, TN 37918-1845
(915) 373-7868
Mailing address
5035 JACKSBORO PIKE, KNOXVILLE, TN 37918-1845
(915) 373-7868
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2071
TX
Other
Enumeration date
04/11/2013
Last updated
02/10/2026
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