Individual
MS. MARISA AIKEN SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 SAN PEDRO DR SE, 5A-111, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2803
Mailing address
1501 SAN PEDRO DR SE, 5A-111, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2803
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2013-0064
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8855310
MEDICARE ID
WA
Enumeration date
07/24/2006
Last updated
03/25/2020
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