Individual
JESSICA MARGIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4217
(505) 994-7999
(505) 243-0366
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN 76211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00067
—
NM
Enumeration date
06/15/2016
Last updated
06/15/2016
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