NPI 1124493085

Jeremy Miera

Practitioner Contractor Rio Rancho, NM

Practice location

Address: 2557 Chessman Dr NE, Rio Rancho, NM 87124-6517
Phone: (505) 720-3941

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 3174 (NM)

Other Contractor providers in New Mexico →

Registry record

NPI: 1124493085
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2015
Record last updated: 3 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.