Individual
MR. PABLO JUVENCIO VALERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2625 MCNUTT RD, SUNLAND PARK, NM 88063-9608
(575) 589-0887
(575) 589-0898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1018786
TX
363LF0000X
Family Nurse Practitioner
Primary
64224
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93936524
—
NM
Enumeration date
11/18/2020
Last updated
08/05/2022
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