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Individual

MS. JO BETH FRITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
520 N 1ST ST, BLOOMFIELD, NM 87413-5307
(505) 634-3405
(505) 634-3413
Mailing address
635 ROAD 2900, AZTEC, NM 87410-1040
(505) 664-3405
(505) 634-3413

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R 22079
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64434826
NM
Enumeration date
05/15/2007
Last updated
07/08/2007
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