Organization
DIM CARE MOBLE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER NWAOGU CNP (OWNER)
(575) 805-0560
Entity
Organization
Contact information
Practice address
301 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-9051
(575) 805-0560
Mailing address
PO BOX 2801, LAS CRUCES, NM 88004-2801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01884
NM
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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