Individual
MR. CIRK RUSSELL BEJNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
9 WALLYS WAY, SOCORRO, NM 87801-5134
(575) 418-8598
Mailing address
9 WALLYS WAY, SOCORRO, NM 87801-5134
(575) 418-8598
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NM222384130E
NM
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM222384130E
NEW MEXICO NURSE AIDE PROGRAM
NM
Enumeration date
01/18/2025
Last updated
01/18/2025
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