Individual
CAROLINA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
Mailing address
9323 SANDIA SUNSET ST NW, ALBUQUERQUE, NM 87114-6604
(575) 973-3190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0071
NM
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/06/2022
Last updated
08/15/2022
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