Organization
JTHINK LLC
Active
Other names
Meadow City Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE L LARRANAGA (OFFICE MANAGER)
(505) 426-0700
Entity
Organization
Contact information
Practice address
611 NATIONAL AVE, LAS VEGAS, NM 87701-4243
(505) 426-0700
Mailing address
PO BOX 966, LAS VEGAS, NM 87701-0966
(915) 491-4860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01322
NM
Other
Enumeration date
11/04/2011
Last updated
02/13/2024
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