Organization
NMCW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE VALDIVIA (FNP)
(915) 873-0603
Entity
Organization
Contact information
Practice address
403 S MELENDRES ST, LAS CRUCES, NM 88005-2805
(915) 873-0608
Mailing address
403 S MELENDRES ST, LAS CRUCES, NM 88005-2805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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