Individual
JACQUELINE KELLY-ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CCM
Contact information
Practice address
1390 W. BOSQUE LP, BOSQUE FARMS, NM 87068-1300
(505) 869-2646
Mailing address
PO BOX 1300, LOS LUNAS, NM 87031-1300
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R28357
NM
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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