Individual
MR. TRINIDAD AVALOS JASSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
506 S MAIN ST STE 7000A, LAS CRUCES, NM 88001-1207
(575) 522-0289
Mailing address
PO BOX 153, DONA ANA, NM 88032-0153
(575) 522-0289
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R20927
NM
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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