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Contact Information

CLARISSA MONDRAGON, RN
21342 US HIGHWAY 84
ABIQUIÚ, NM87510-2200
 Phone: 505-685-4457
 Fax: 505-685-4644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

163WS0200X
Indicates primary specialty

NPI Profile & details for CLARISSA MONDRAGON · (Female)

NPI Number 1497269146
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/16/2017
Last updated 11/16/2017 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # R52804
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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