Individual
JACINDA STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 865-4618
Mailing address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 865-4618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55152
NM
Other
Enumeration date
02/04/2019
Last updated
11/01/2019
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