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Individual

MS. GERALDINE R JANUARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PMHCNS

Contact information

Practice address
1990 E LOHMAN AVE, LAS CRUCES, NM 88001-3172
(575) 526-6867
Mailing address
PO BOX 168, RADIUM SPRINGS, NM 88054-0168
(575) 202-0344

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R58219
NM

Other

Enumeration date
11/13/2008
Last updated
11/13/2008
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