Individual
SUSAN LORI REANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 EAGLE CT, SANTO DOMINGO PUEBLO, NM 87052-1230
(505) 249-3416
Mailing address
18 EAGLE CT, SANTO DOMINGO PUEBLO, NM 87052-1230
(505) 249-3416
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
08/06/2025
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