Individual
TEENA MARIE REIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S 4TH ST, RATON, NM 87740-4007
(575) 445-3557
(575) 445-2409
Mailing address
PO BOX 28820, SANTA FE, NM 87592-8820
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/29/2011
Last updated
05/03/2011
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