MARIAM BOKOLISHVILI, S.A.

S.A.

Surgical Physician Assistant

NPI: 1225564800Individual

Specialties, Licenses & Credentials

Surgical Assistant

Specialist/Technologist, Other — Surgical Assistant

Code: 246ZC0007X

15-489

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

15-489

Contact & Hours

Address: 1511 W ALAMEDA ST
SANTA FE, NM 87501
Phone: (505) 459-3988

Quick Facts

NPI: 1225564800
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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