NPI 1699285155
Jacob Braldey
Practice location
- Address
- 1401 Ducale Dr SE, Rio Rancho, NM 87124-8772
- Phone
- (505) 948-8675
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1699285155
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Oct 2017
- Record last updated
- 10 Oct 2017
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.