Anjani Susanna Ziznewski, LMT
Mechanotherapist in Cerrillos, NM. Individual provider (NPI-1).
NPI number1295048874
StatusActive
Last updated in NPPESJul 23, 2010
Details
- NPI
- 1295048874
- Entity type
- Individual (NPI-1)
- Name
- Miss Anjani Susanna Ziznewski
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2010
- Last updated
- Jul 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | 6390 | NM | Yes |
Practice location
44 Gold Mine RdCerrillos, NM 87010-9700
Phone 505-920-5202
Mailing address
Po Box 178Cerrillos, NM 87010-0178
Phone 505-920-5202
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