NPI 1144627274

Jeremy Werderman

Practitioner Contractor Los Lunas, NM

Practice location

Address: 1181 Capitan St NW, Los Lunas, NM 87031-6909
Phone: (505) 916-0355

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Health Information Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 247000000X

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Registry record

NPI: 1144627274
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2014
Record last updated: 4 Dec 2014

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.