Individual
JODI CASADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
#14, COUNTY ROAD 0324, HWY 84, TIERRA AMARILLA, NM 87575-0250
(505) 588-7252
Mailing address
PO BOX 250, #14, COUNTY RD 0324, HWY 84, TIERRA AMARILLA, NM 87575-0250
(505) 588-7252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004-0458
NM
Other
Enumeration date
02/06/2007
Last updated
01/08/2008
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