Mackenna Havenor, | |
2216 Lester Dr Ne, Albuquerque, NM 87112-2607 | |
(505) 296-4808 | |
Not Available |
Full Name | Mackenna Havenor |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 2216 Lester Dr Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942994942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 53325 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mackenna Havenor, 3037 Mackland Ave Ne, Albuquerque, NM 87106-2054 Ph: (505) 818-9757 | Mackenna Havenor, 2216 Lester Dr Ne, Albuquerque, NM 87112-2607 Ph: (505) 296-4808 |
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› Verified 7 days ago
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