Jennifer Boc, LMT

NPI #1073750386 in Santa Fe, New Mexico

Provider Information

NPI Number: 1073750386
Entity Type: Individual
Name: Jennifer Boc, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Jan 9, 2009
Last Updated: Jan 9, 2009

Practice Location

Address: 2074 GALISTEO ST
Address 2: UNIT A-2
City: Santa Fe
State: New Mexico
ZIP Code: 87505-2138
Phone: (505) 989-7418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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