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Individual

JENNIFER COMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1108 W US ROUTE 66, MORIARTY, NM 87035-1006
(505) 832-4434
(505) 832-5024
Mailing address
12127 HWY 14 N STE 5B, CEDAR CREST, NM 87008-9461
(505) 281-5180
(505) 281-5320

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
98-242
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22378766
NM
Enumeration date
09/20/2006
Last updated
12/13/2013
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