Organization
PROVIDER CARES NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERONE MOEOGE (MANAGING MEMBER)
(323) 805-9987
Entity
Organization
Contact information
Practice address
10401 MONTGOMERY PKWY NE STE 1A, ALBUQUERQUE, NM 87111-3876
(323) 805-9987
Mailing address
10401 MONTGOMERY PKWY NE STE 1A, ALBUQUERQUE, NM 87111-3876
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/29/2020
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