Individual
JANA CRUICKSHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1801 CAMINO DE SALUD NORTH EAST, ALBUQUERQUE, NM 87102
(505) 925-7767
Mailing address
1801 CAMINO DE SALUD NORTH EAST, ALBUQUERQUE, NM 87102
(505) 925-7767
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3559
NM
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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