Individual
JENNIFER PENTECOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 WILLIAM ST SE, ALBUQUERQUE, NM 87102-4661
(505) 768-5450
(505) 842-1185
Mailing address
2001 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
(505) 768-5450
(505) 842-1185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20023084
NM
Other
Enumeration date
11/18/2005
Last updated
10/24/2011
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