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Individual

MS. MARTINA JASMIN GRANADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
385 CALLE DE ALEGRA BLDG C, LAS CRUCES, NM 88005
(575) 556-8200
(575) 521-7199
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
729
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
56755252
NM
Enumeration date
05/25/2017
Last updated
08/10/2018
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