Most Relevant Information
Provider Data
| NPI Number: | 1003073339 |
| Provider Name: | BRANDELYN RACHELLE JOKIEL CCHT |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | A.C.H.E. CHT#107-106 |
Most Important Dates
| Enumeration Date: | 05/22/2008 |
| Last Updated: | 05/22/2008 |
Provider Practice Location
1201 EUBANK BLVD NE
SUITE #2
ALBUQUERQUE
NM
871125386
Practice Location Phone/Fax
| Phone: | 5052395784 |
| Fax: |
Provider Mailing Location
1201 EUBANK BLVD NE
SUITE #2
ALBUQUERQUE
NM
871125386
Provider Mailing Phone/Fax
| Phone: | 5052395784 |
| Fax: |