Individual
JURIDO OLUKUNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
905 S 8TH ST STE B, DEMING, NM 88030-4037
(575) 543-7200
Mailing address
905 S 8TH ST STE B, DEMING, NM 88030-4037
(575) 543-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2022-1503
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2020
Last updated
08/22/2023
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