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LONI CAPRI WITSCHEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8300 CONSTITUTION AVE NE 2ND FL STE G, PAIN AND SPINE, ALBUQUERQUE, NM 87110-7624
(505) 291-2770
(505) 291-2706
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2019-0104
NM

Other

Enumeration date
11/12/2019
Last updated
10/09/2025
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