Individual
JACQUELINE HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MONICA RD, LOS LUNAS, NM 87031-9567
(505) 865-3017
Mailing address
111 MONICA RD, LOS LUNAS, NM 87031-9567
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN78443
NM
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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