Individual
JILLANA G. BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W WASHINGTON AVE, STE A, ARTESIA, NM 88210-2800
(505) 748-3305
(505) 748-3305
Mailing address
315 W WASHINGTON AVE, STE A, ARTESIA, NM 88210-2800
(505) 748-3305
(505) 748-3305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
845
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850327964
LOVELACE
NM
01
—
K895
BC/BS
NE
05
—
N8814
—
NM
Enumeration date
07/28/2005
Last updated
08/22/2016
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