Individual
JENNIFER PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1101 GOLF COURSE RD SE STE 201, RIO RANCHO, NM 87124-4731
(505) 414-6449
(505) 545-6731
Mailing address
4201 CENTRAL AVE NW STE K3, ALBUQUERQUE, NM 87105-1647
(505) 508-1739
(505) 554-1106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP03591
NM
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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