Individual
DR. ILEANA LEONOR JARRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 NIZHONI BLVD, GALLUP INDIAN MEDICAL CENTER, GALLUP, NM 87301-5748
(505) 722-1000
(505) 726-8557
Mailing address
516 NIZHONI BLVD, GALLUP INDIAN MEDICAL CENTER, GALLUP, NM 87301-5748
(505) 722-1000
(505) 726-8557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
231909
NY
Other
Enumeration date
12/06/2006
Last updated
11/03/2009
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