Individual
MARISOL MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22 MARLINK, LOS LUNAS, NM 87031-5848
(505) 865-1750
Mailing address
500 MISTLETOE AVE, BOSQUE FARMS, NM 87068
(505) 865-1750
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R46019
NM
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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