Individual
TABBITHA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2100 YUCCA ST, SANTA FE, NM 87505-5498
(505) 467-2463
Mailing address
9 SIERRA PL S, SANTA FE, NM 87508-4611
(505) 414-6053
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
57192
NM
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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