Individual
JANNA ELIZABETH ROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 BONITA AVE, GRANTS, NM 87020
(505) 285-3767
Mailing address
1208 BONITA AVE, GRANTS, NM 87020
(505) 285-3767
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
492
NM
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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