Individual
JILL GERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 E PALACE AVE, SANTA FE, NM 87501-2025
(505) 984-8830
Mailing address
30 AVENTURA RD, SANTA FE, NM 87508-8744
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
936
NM
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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