Mirabal, Jennifer M
Mirabal, Jennifer M is an sole proprietor health care provider with primary practice located at 4100 Sara Rd Se Rr7 Mailstop 108, Rio Rancho NM 87124-1025. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mirabal, Jennifer M can be contacted via phone (505) 239-9644.Contact Information
Primary practice address
4100 Sara Rd Se Rr7 Mailstop 108
Rio Rancho NM 87124-1025
Phone: (505) 239-9644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5462 | New Mexico |
Profile Details
| NPI number | 1245386648 |
|---|---|
| LBN Legal business name | Mirabal, Jennifer M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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