Individual
JANIS KATRINA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 CENTRAL AVE, BAYARD, NM 88023
(575) 537-4000
Mailing address
900 CENTRAL AVE, BAYARD, NM 88023
(575) 537-4000
(575) 537-3921
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R67051
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000L1871
—
NM
Enumeration date
01/27/2014
Last updated
01/27/2014
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