MEDICARE: MS. LESLIE NATALIE JOVEN DN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172P00000X	Naprapath	0020	NM

General Provider Information

NPI Number	:	1043584618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLIE NATALIE JOVEN DN

Provider Business Mailing Address
First Line	:	3600 CERRILLOS RD STE 407
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-2653
Country	:	US
Telephone Number	:	505-424-8990
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 CERRILLOS RD STE 407
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-2653
Country	:	US
Telephone Number	:	505-424-8990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	02/29/2012

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