Individual
JACLYN R MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
Mailing address
5787 PINON GRANDE RD NW, ALBUQUERQUE, NM 87114-2017
(505) 681-5589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN69912
NM
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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