Individual
JANNA SHAYE KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
224 W D. L. INGRAM AVENUE, BLDG. 1408, CLOVIS, NM 88103
(575) 904-3612
(575) 784-6329
Mailing address
224 W D. L. INGRAM AVENUE, BLDG. 1408, CLOVIS, NM 88103
(575) 904-3612
(575) 784-6329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN245403
GA
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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