JODI A. DETTMAN

EDGEWOOD, NM
NPI1720269178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NM  CNP01152)
Enumeration Date2007-11-14
Last Update Date2018-05-04
Business Address
JODI A. DETTMAN CNP
104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015-7185
Phone number: 505-208-0204
Mailing Address
JODI A. DETTMAN CNP
104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015-7185
Phone number: 505-208-0204
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