SearchNew Mexico163WS0200X

Gloria Johnson

NPI 1104652627 · on the registry since 2024 · sole proprietor

Practice

Address
405 Hunter St
Espanola, NM 87532
Phone
(505) 367-3342
Clinicians at this address
15

Registry record

Primary taxonomy
163WS0200X
163WS0200X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico