Individual provider · Type 1 NPI

Vanessa D. Licona Sanjuan, MD

Neurology Physician · Albuquerque, NM

NPI number 1386958825 Active

Practice location

500 Walter St NE, Ste 401
Albuquerque, NM 87102-2563

Call (505) 727-5910 Map

Fax (505) 727-5939

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XMD2012-0867 (NM)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Neurology Physician: 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.

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About NPI 1386958825

Vanessa D. Licona Sanjuan, MD's National Provider Identifier is 1386958825, issued on Jul 26, 2010. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 19, 2017.