Jennifer M Mirabal
NPI #1245386648 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1245386648
- Entity Type
- Individual
- Name
- Jennifer M Mirabal
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4100 SARA RD SE
- Address 2
- RR7 MAILSTOP 108
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-1025
- Phone
- (505) 239-9644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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