LISA J MEDINA

RIO RANCHO, NM
NPI1093182446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  DH4346)
Enumeration Date2015-09-01
Last Update Date2018-04-04
Business Address
LISA J MEDINA RDH
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124-1755
Phone number: 505-896-7100
Mailing Address
LISA J MEDINA RDH
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124-1755
Phone number: 505-896-7100
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