Individual
JODI L. D'AVIGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
127 HAGON RD, ALGODONES, NM 87001-8087
(505) 771-9922
Mailing address
335 VINEYARD RD NW, LOS RANCHOS, NM 87107-5805
(505) 803-3397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R26560
NM
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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