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Contact Information

XIMENA LICANO
2201 SAINT FRANCIS CT
PORTALES, NM88130-9381
 Phone: 575-652-2743
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Doula

374J00000X
 

Lactation Consultant, Non-RN

174N00000X
Indicates primary specialty

NPI Profile & details for XIMENA LICANO · (Female)

NPI # 1518794320
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2024
Last updated 02/04/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 86379
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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