Individual
JESSIE RENALE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1000 W 4TH ST, ROSWELL, NM 88201-3038
(575) 623-8474
(575) 623-8220
Mailing address
1000 W 4TH ST, ROSWELL, NM 88201-3038
(575) 623-8474
(575) 623-8220
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0771
NM
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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