Individual
JENIFFER SYLVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
811 PASEO DEL PUEBLO SUR, TAOS, NM 87571
(575) 758-1704
(575) 758-4367
Mailing address
1335 PASEO DEL PUEBLO SUR, #203, TAOS, NM 87571
(575) 613-0611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7592
NM
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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