NPI 1073750386

Jennifer Boc, LMT

Practitioner Contractor Santa Fe, NM

Practice location

Address: 2074 Galisteo St Unit A-2, Santa Fe, NM 87505-2138
Phone: (505) 989-7418
Mailing address: 1133 Lopez St, Santa Fe, NM 87501-2486

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 4652 (NM)

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Registry record

NPI: 1073750386
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2009
Record last updated: 9 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.