Individual
DENISE KIKLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 W HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052-1283
(505) 465-3060
(505) 318-1079
Mailing address
PO BOX 340, SANTO DOMINGO PUEBLO, NM 87052-0340
(505) 465-3060
(505) 318-1078
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NDP-2024-0101
NM
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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