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Individual

JESSICA MARIE KUBIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3015 MEMORIAL CT, LAS CRUCES, NM 88011-9127
(575) 649-6991
Mailing address
2050 E WISCONSIN AVE APT 622, LAS CRUCES, NM 88001-5385
(575) 649-6991

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
79836
NM

Other

Enumeration date
08/05/2024
Last updated
06/20/2025
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