Individual
CLARISSA MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21342 US HIGHWAY 84, ABIQUIU, NM 87510-2200
(505) 685-4457
(505) 685-4644
Mailing address
21342 US HIGHWAY 84, ABIQUIU, NM 87510-2200
(505) 685-4457
(505) 685-4644
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R52804
NM
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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