Individual
JENNIFER LEE SPILLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
344 MONTE VISTA ROAD, TAOS, NM 87571
(575) 758-3997
Mailing address
344 MONTE VISTA ROAD, TAOS, NM 87571
(575) 758-3997
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
204207
TX
Other
Enumeration date
01/05/2009
Last updated
12/11/2013
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