Individual
JANELLE K MANCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9527 NIGHT SKY LN NE, ALBUQUERQUE, NM 87122-1252
(505) 225-5787
(505) 219-3124
Mailing address
8100 WYOMING BLVD NE STE M4, #379, ALBUQUERQUE, NM 87113-1963
(505) 225-5787
(505) 219-3124
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1271
NM
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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