Individual
JOHANA CORONADO OLVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
Mailing address
95 PUWANINI, SANTA FE, NM 87506-8721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86183
NM
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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