Individual
JEANNETTE CAVINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
377 COUNTY ROAD 55A, CERRILLOS, NM 87010-9786
(505) 424-3747
Mailing address
377 COUNTY ROAD 55A, CERRILLOS, NM 87010-9786
(505) 424-3747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2094
NM
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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