Individual
JUANITA SENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
01 SAGEBRUSH ROAD, ISLETA, NM 87022-0580
(505) 869-3200
(505) 869-4584
Mailing address
01 SAGEBRUSH ROAD, ISLETA, NM 87022-0580
(505) 869-3200
(505) 869-4584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R12755
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194738328
NATIONAL PROVIDER NUMBER
—
05
—
308522081
—
NM
Enumeration date
03/11/2009
Last updated
03/11/2009
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