Individual
JESSA LYNN LOVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(419) 705-0796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2018-0021
NM
Other
Enumeration date
04/16/2018
Last updated
06/25/2024
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