Individual
JILLIAN BAREFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 SALIDA DEL SOL, LOS LUNAS, NM 87031-8807
(505) 220-9346
Mailing address
13 SALIDA DEL SOL, LOS LUNAS, NM 87031-8807
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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