Individual
MS. GIOANY LIRA-JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
6601 VALENTINE WAY, SANTA FE, NM 87507-7301
(505) 988-1951
(505) 988-1906
Mailing address
6601 VALENTINE WAY, SANTA FE, NM 87507-7301
(505) 988-1951
(505) 988-1906
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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