Individual
MS. KEYA MERAH NKONOKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 E. ROOSEVELT AVE, GRANTS, NM 87020
(505) 287-6500
Mailing address
1423 E. ROOSEVELT AVE, GRANTS, NM 87020
(505) 287-6500
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
SI-1652
NM
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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