Individual
MARIO MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
125 DIAMANTE PL, RIO COMMUNITIES, NM 87002-6162
(505) 720-7571
Mailing address
125 DIAMANTE PL, RIO COMMUNITIES, NM 87002-6162
(505) 720-7571
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN-80443
NM
Other
Enumeration date
03/26/2022
Last updated
03/26/2022
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