Individual
JENIFER LEE DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1831 CAMINO DEL LLANO, BELEN, NM 87002-2619
(505) 864-1600
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5717
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
310802
TX
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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