Individual
JANA ROSE BENAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2019 GALISTEO ST STE A3, SANTA FE, NM 87505-2143
(505) 988-2117
Mailing address
2019 GALISTEO ST STE A3, SANTA FE, NM 87505-2143
(505) 988-2117
(505) 988-2119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81411
NM
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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