Individual
JONATHAN JARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
801 ENCINO PL NE STE E-1801, ALBUQUERQUE, NM 87102-2612
(505) 272-2573
Mailing address
801 ENCINO PL NE STE E-1801, ALBUQUERQUE, NM 87102-2612
(505) 272-2573
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1149
NM
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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