Search › New Mexico › 163W00000X
Theodore Reznowski, R.N
NPI 1881066991 · on the registry since 2015
Practice
- Address
- 607 E Apache St
Farmington, NM 87401 - Phone
- (505) 326-2012
- Organisation at this address
- 48new Mexico Treatment Services
New Mexico Treatment Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163WA0400X
163WP0809X - Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-28
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