Individual
JOLYNN HERRERA MURAIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5808 MCLEOD RD NE, SUITE L, ALBUQUERQUE, NM 87109-2455
(505) 710-0611
Mailing address
5805 CANYON VISTA DR NE, ALBUQUERQUE, NM 87111-6617
(505) 828-0577
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
91-97
NM
2084P0805X
Geriatric Psychiatry Physician
91-97
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E0162
—
NM
Enumeration date
07/14/2006
Last updated
01/11/2012
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