Individual
MR. DANTE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CAMINO DEL SOL, LOS LUNAS, NM 87031-5706
(505) 610-1301
Mailing address
1 CAMINO DEL SOL, LOS LUNAS, NM 87031-5706
(505) 610-1301
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN-73242
NM
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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