Individual
JILL TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2520 S TELSHOR BLVD, LAS CRUCES, NM 88011-4907
(575) 522-9793
(575) 532-9019
Mailing address
PO BOX 6310, LAS CRUCES, NM 88006-6310
(575) 522-9793
(575) 522-9793
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
561
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70672768
—
NM
Enumeration date
08/01/2007
Last updated
04/11/2016
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