Individual
XONDRIA JENNIFER SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 762-3851
(575) 762-5698
Mailing address
2210 JADYN LN, CLOVIS, NM 88101-1614
(575) 693-2600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008794
NM
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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