Individual
JANET CREELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
343 MAIN ST NW, LOS LUNAS, NM 87031-8712
(505) 866-8338
Mailing address
2704 MCEARL AVE SE, ALBUQUERQUE, NM 87106-3009
(505) 280-1544
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3597
NM
171W00000X
Contractor
377103
NM
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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