NATHAN DANIEL LICKTEIG

ALBUQUERQUE, NM
NPI1649912452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-12
Last Update Date2022-04-12
Business Address
NATHAN DANIEL LICKTEIG DO
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4814
Mailing Address
NATHAN DANIEL LICKTEIG DO
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4814
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