Individual
MR. JIMMY MAGGAY CALZADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1350 JACKIE RD SE, SUITE 104, RIO RANCHO, NM 87124-1519
(505) 515-3982
(505) 792-6060
Mailing address
1350 JACKIE RD SE, SUITE 104, RIO RANCHO, NM 87124-1519
(505) 515-3982
(505) 792-6060
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01999
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08453781
—
NM
Enumeration date
07/31/2012
Last updated
10/25/2016
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