NPI 1740094549

Kathryn Conticelli

Practitioner Supports Brokerage Agency Tijeras, NM

Practice location

Address: 10674 Nm 337, Tijeras, NM 87059-8608
Phone: (505) 340-6561

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in New Mexico →

Registry record

NPI: 1740094549
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2025
Record last updated: 3 Feb 2025

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.