JORGE LICANO

ALBUQUERQUE, NM
NPI1629679808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NM  RS2024-0050)
Enumeration Date2020-11-04
Last Update Date2025-11-03
Business Address
JORGE LICANO MD
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4661
Mailing Address
JORGE LICANO MD
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4661
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