Search › New Mexico › 106S00000X
Jesse Bravo
NPI 1104488279 · on the registry since 2019
Practice
- Address
- 5018 Arroyo Chamisa Rd Ne
Albuquerque, NM 87111 - Phone
- (505) 489-3621
Additional practice sites
- 6565 Americas Pkwy Ne Ste 200, Albuquerque, NM
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico