Individual
KATHRYN CONTICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10674 NM 337, TIJERAS, NM 87059-8608
(505) 340-6561
Mailing address
10674 NM 337, TIJERAS, NM 87059-8608
(505) 340-6561
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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