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Tanya Johnson
NPI 1760891782 · on the registry since 2014
Practice
- Address
- 3 Mora Valley Clinic Rd
Mora, NM 87732 - Phone
- (575) 387-2201
- Fax
- (575) 387-9149
- Organisation at this address
- Mora Valley Community Health Services
Mora Valley Community Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-04
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