Individual
LARISSA A JUBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5419 N LOVINGTON HWY STE 29, HOBBS, NM 88240-9136
(575) 392-0077
(575) 392-3925
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5228
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
628
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
628
CNM
NM
Enumeration date
09/06/2011
Last updated
02/21/2024
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