SearchNew Mexico174400000X

Jennifer Mirabal

NPI 1245386648 · on the registry since 2007 · sole proprietor

Practice

Address
4100 Sara Rd Se
Rr7 Mailstop 108
Rio Rancho, NM 87124
Phone
(505) 239-9644
Clinicians at this address
4

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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