Individual
JOANNE KAY GRONEWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2318 PINE DR, ALAMOGORDO, NM 88310-4214
(575) 415-1019
Mailing address
2318 PINE DR, ALAMOGORDO, NM 88310-4214
(575) 415-1019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58109
NM
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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