Individual
JAYNE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 ALAMO AVE SE, ALBUQUERQUE, NM 87106-3204
(505) 925-2410
(505) 925-2411
Mailing address
2450 ALAMO AVE SE, ALBUQUERQUE, NM 87106-3204
(505) 925-2410
(505) 925-2411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L16824
NM
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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