Search › New Mexico › 225100000X
Dane Person
NPI 1114139318 · on the registry since 2007 · sole proprietor
Practice
- Address
- 310 Continental Drive
Jal, NM 88252 - Phone
- (575) 395-3400
- Fax
- (575) 395-3355
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NM, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-28
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