Healthcare Provider Details
I. General information
NPI: 1487902730
Provider Name (Legal Business Name): JANINE COLE-ARRINGTON D.V.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/16/2012
Last Update Date: 08/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 RIO RANCHO DR SE
RIO RANCHO NM
87124-1034
US
IV. Provider business mailing address
1101 RIO RANCHO DR SE
RIO RANCHO NM
87124-1034
US
V. Phone/Fax
- Phone: 505-891-2800
- Fax: 505-891-8961
- Phone: 505-891-2800
- Fax: 505-891-8961
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174M00000X |
| Taxonomy | Veterinarian |
| License Number | 2123 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: