Individual
MRS. JANELL MARIE VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
813 MESA BLVD., GRANTS, NM 87020
(505) 879-6882
(800) 506-4927
Mailing address
813 MESA BLVD., GRANTS, NM 87020
(505) 879-6882
(800) 506-4927
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R51927
NM
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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