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Individual

MRS. TINA MARIE LEAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CDE

Contact information

Practice address
901 W ALAMEDA ST, SANTA FE, NM 87501-1681
(443) 684-6982
(505) 983-6520
Mailing address
1691 GALISTEO ST STE D, SANTA FE, NM 87505-4781
(443) 684-6982

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN-89685
NM

Other

Enumeration date
03/25/2021
Last updated
03/25/2021
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