Individual
PAMELA M JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 UNSER BLVD SE, RIO RANCHO, NM 87124-4660
(505) 333-8123
Mailing address
500 UNSER BLVD SE, RIO RANCHO, NM 87124-4660
(505) 333-8123
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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