Individual
MRS. JANA L BLEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 627-2500
Mailing address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 627-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4584
NM
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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