Search › New Mexico › 103TC0700X
Mindy Jitmanowan, PSY
NPI 1316372501 · on the registry since 2013 · sole proprietor
Practice
- Address
- 8300 Constitution Ave Ne
Bldg D
Albuquerque, NM 87110 - Phone
- (505) 291-2402
- Organisation at this address
- Presbyterian Healthcare Services
Presbyterian Healthcare Services
New Mexico Orthopaedic Surgery Center, Llc
New Mexico Pain And Spine Institute, A Professional CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 123
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-20
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