Individual
REBECCA ANN JOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
02 SAN I SENIOR ROAD, BUILDING E, SANTA FE, NM 87506
(505) 455-2395
Mailing address
2600 SALTILLO RD NE, RIO RANCHO, NM 87144-5732
(505) 503-9776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-85000
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-85000
NURSING LICENSE
NM
Enumeration date
12/22/2021
Last updated
12/28/2021
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