Organization
CLOVIS FAMILY HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA JOHNSON (DIRECTOR OF PERSONEL)
(575) 762-4455
Entity
Organization
Contact information
Practice address
2301 N MLK BLVD, CLOVIS, NM 88101-9401
(575) 762-4455
(575) 762-8411
Mailing address
2301 N MLK BLVD, CLOVIS, NM 88101-9401
(575) 762-4455
(575) 762-8411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R33747
NM
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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