Individual
JILL RAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1125
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02763
NM
Other
Enumeration date
09/03/2015
Last updated
11/02/2015
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