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Individual

MS. JANET ANNE NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LD

Contact information

Practice address
1501 SAN PEDRO DR SE, KIRTLAND AIR FORCE BASE, ALBUQUERQUE, NM 87108-5153
(505) 974-1717
Mailing address
12010 STILWELL DR NE, ALBUQUERQUE, NM 87112-3444
(505) 974-1717

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
376
NM

Other

Enumeration date
03/10/2008
Last updated
03/10/2008
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