JORGE LICANO

ALBUQUERQUE, NM
NPI1629679808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-11-04
Last Update Date2024-04-01
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