Individual
JOHN WILLIAM MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9201 MONTGOMERY BLVD NE STE V, ALBUQUERQUE, NM 87111-2470
(505) 217-1717
(505) 213-0041
Mailing address
9201 MONTGOMERY BLVD NE STE V, ALBUQUERQUE, NM 87111-2470
(505) 217-1717
(505) 213-0041
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
07/22/2018
Last updated
12/04/2025
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