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Individual

MISS JEANNE MALCHOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM/FNP

Contact information

Practice address
3917 WEST RD, SUITE 250, LOS ALAMOS, NM 87544-2275
(505) 662-4412
(505) 661-6536
Mailing address
3917 WEST RD, SUITE 250, LOS ALAMOS, NM 87544-2275
(505) 662-4412
(505) 661-6536

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R29819
NM

Other

Enumeration date
08/09/2007
Last updated
08/09/2007
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