Individual
JUANITA MCKELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1736 SPENCE AVE SE, ALBUQUERQUE, NM 87106-4208
(937) 545-2770
Mailing address
1736 SPENCE AVE SE, ALBUQUERQUE, NM 87106-4208
(937) 545-2770
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/19/2016
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