Individual
ANDREA CETERA-JINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 GRANITE AVE NW, ALBUQUERQUE, NM 87102-1851
(505) 508-5292
(505) 214-5386
Mailing address
1109 GRANITE AVE NW, ALBUQUERQUE, NM 87102-1851
(505) 508-5292
(505) 214-5386
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
FA0083460
NM
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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