Individual
KYLIE JO ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HOLIDAY DR, LOS LUNAS, NM 87031-8019
(505) 238-3895
Mailing address
30 HOLIDAY DR, LOS LUNAS, NM 87031-8019
(505) 238-3895
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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