person
Vanessa D Licona Sanjuan, MD
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1386958825

Vanessa D Licona Sanjuan is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Vanessa D Licona Sanjuan practices in Albuquerque, NM and has the professional credentials of MD. The NPI Number for Vanessa D Licona Sanjuan is 1386958825 and holds a License No. MD2012-0867 (New Mexico).

The current practice location address for Vanessa D Licona Sanjuan is 500 Walter St Ne, Albuquerque, NM and can be reached out via phone at 505-727-5910 and via fax at 505-727-5939.

Location: 500 Walter St Ne, Albuquerque, NM, 87102-2563
person
Provider Profile Details
NPI Number
1386958825
Provider Name
Vanessa D Licona Sanjuan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
500 Walter St Ne, Albuquerque, NM, 87102-2563
Phone Number
505-727-5910
Fax Number
505-727-5939
Provider Enumeration Date
07/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
98305522 05 NM
institution
Provider Business Practice Location Address Details
Address
500 Walter St Ne
City
State
Zip
87102-2563
Phone Number
505-727-5910
Fax Number
505-727-5939
person
Provider Business Mailing Address Details
Address
500 Walter St Ne
City
State
Zip
87102-2563
Phone Number
505-727-5910
Fax Number
505-727-5939
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MD2012-0867 (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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