Individual
MS. NEDRA ANN JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RHIT,CCS,CNA
Contact information
Practice address
39 ROAD 1490, LA PLATA, NM 87418-9603
(505) 330-4497
(505) 212-0646
Mailing address
39 ROAD 1490, LA PLATA, NM 87418-9603
(505) 330-4497
(505) 212-0646
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NM0060650708E
NM
Other
Enumeration date
08/03/2008
Last updated
08/06/2008
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