Individual
MARIE C HARNISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 295-4625
Mailing address
2403 CALLE ZAGUAN, SANTA FE, NM 87505-5267
(505) 690-9759
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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