MS. JEANETTE MARIE DEANDA


Address: 34 Monticello Dr Ne, Albuquerque, NM 87123-9601
Phone: 5054536952

MS. JEANETTE MARIE DEANDA (NPI# 1669824652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669824652
Entity Type Individual
Full Name MS. JEANETTE MARIE DEANDA
Credential LMT
Practice Address 34 Monticello Dr Ne
Albuquerque
NM 87123-9601
Practice Telephone 5054536952
Mailing Telephone 5054536952
Enumeration Date 2016-07-01
Last Update Date 2016-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 4860 NM Other Service Providers

Office Location

Street Address 34 MONTICELLO DR NE
City ALBUQUERQUE
State NM
Zip Code 87123-9601

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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Competitor

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City ALBUQUERQUE
Zip Code 87123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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