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Individual

BETH A JESTER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8316 KASEMAN CT NE, ALBUQUERQUE, NM 87110-7639
(505) 292-5850
(505) 292-9724
Mailing address
2019 GALISTEO ST, STE N9B, SANTA FE, NM 87505-2111
(505) 292-5850
(505) 292-9724

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036-094530
IL
207N00000X
Dermatology Physician
A65180
CA
207N00000X
Dermatology Physician
Primary
MD 2004-0502
NM

Other

Enumeration date
07/28/2005
Last updated
06/18/2019
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