NPI 1245386648

Jennifer M Mirabal

Practitioner Specialist Rio Rancho, NM

Practice location

Address: 4100 Sara Rd SE Rr7 Mailstop 108, Rio Rancho, NM 87124-1025
Phone: (505) 239-9644
Mailing address: 4909 Indigo Dr NW, Albuquerque, NM 87120-4419

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 5462 (NM)

Other Specialist providers in New Mexico →

Registry record

NPI: 1245386648
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2007
Record last updated: 8 Jul 2007

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.