Individual
CLARISSA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 MORA VALLEY CLINIC RD, MORA, NM 87732-2202
(575) 387-5069
Mailing address
PO BOX 209, MORA, NM 87732-0209
(575) 387-5069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65836
NM
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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