Individual
MAILIN ISABEL QUINONES JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2420 W PIERCE ST STE 101, CARLSBAD, NM 88220-3517
(575) 628-0107
Mailing address
203 POPLAR ST, CARLSBAD, NM 88220-6332
(786) 501-3043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11023307
FL
363LF0000X
Family Nurse Practitioner
11023307
FL
363LF0000X
Family Nurse Practitioner
Primary
71568
NM
Other
Enumeration date
01/16/2023
Last updated
05/19/2023
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