Individual
MS. MICHELE M JENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 467-2463
Mailing address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 467-2463
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R58471
NM
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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