Organization
ANIMAS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOPAUL VALLES CNP (SOLE MEMBER)
(505) 592-2429
Entity
Organization
Contact information
Practice address
188 ROAD 3000, AZTEC, NM 87410-9501
(505) 592-2429
Mailing address
407 SOLANO DR NE, ALBUQUERQUE, NM 87108-1045
(505) 592-2429
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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