Provider Demographics
NPI:1992516157
Name:TALAMANTES, JOEANNA MARIE (CST-CSFA)
Entity type:Individual
Prefix:
First Name:JOEANNA
Middle Name:MARIE
Last Name:TALAMANTES
Suffix:
Gender:F
Credentials:CST-CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 W ALBUQUERQUE ST
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88203-1934
Mailing Address - Country:US
Mailing Address - Phone:575-910-6827
Mailing Address - Fax:
Practice Address - Street 1:1510 W ALBUQUERQUE ST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88203-1934
Practice Address - Country:US
Practice Address - Phone:575-910-6827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant