Individual
JIMENA LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 N ABILENE PL, PORTALES, NM 88130-4813
(575) 607-7608
Mailing address
200 MARTIN LUTHER KING BLVD, WICHITA FALLS, TX 76301-1152
(940) 766-6306
(940) 766-6504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
68082
NM
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
04/30/2024
Last updated
11/19/2025
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