Individual
MS. JILANA GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3865 FOOTHILLS RD, LAS CRUCES, NM 88011-4620
(575) 521-7117
(575) 521-7226
Mailing address
4371 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 532-8900
(575) 532-8910
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10004834
WA
363AM0700X
Medical Physician Assistant
Primary
PA2007-0010
NM
Other
Enumeration date
03/09/2006
Last updated
01/30/2024
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