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Marcel Modelo, PTA
NPI 1932619137 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1692b Hospital Dr
Santa Fe, NM 87505 - Phone
- (505) 982-6399
- Fax
- (505) 982-3219
- Organisation at this address
- Enchanted Sky Hospice Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-03
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