Search › New Mexico › 106S00000X
Jessica Waconda
NPI 1760220107 · on the registry since 2024 · sole proprietor
Practice
- Address
- 9125 Copper Ave Ne Apt 714
Albuquerque, NM 87123 - Phone
- (505) 908-0034
- Organisation at this address
- University Of New Mexico
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2024-07-18
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