Individual
JENNIFER LYNN AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 COPPER AVE NE, ALBUQUERQUE, NM 87108-1473
(505) 266-5557
Mailing address
1828 ILLINOIS ST NE, ALBUQUERQUE, NM 87110-6902
(505) 974-0137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-6271
NM
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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