Individual
JUBY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 DEVOYS PEAK, SANTA FE, NM 87508-4823
(480) 859-2120
Mailing address
32 DEVOYS PEAK, SANTA FE, NM 87508-4823
(480) 859-2120
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
76554
NM
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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