Individual
VALENCIA DENISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
46 CHACON RD., LOS LUNAS, NM 87031
(505) 865-1102
(505) 865-8995
Mailing address
46 CHACON RD., LOS LUNAS, NM 87031
(505) 865-1102
(505) 865-8995
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-70128
NM
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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