Individual
JESSICA MASCARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5901 HERRERA DR, SANTA FE, NM 87507-2676
(505) 467-4205
(505) 471-3714
Mailing address
4229 VEGAS DE SUENOS, SANTA FE, NM 87507-2638
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
56759
NM
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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