Individual
SHARLENE LYNETTE MAGDALENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 SHEEPSPRINGS RD, JEMEZ PUEBLO, NM 87024
(505) 834-0130
(505) 834-3080
Mailing address
5152 HIGHWAY 4, JEMEZ PUEBLO, NM 87024
(505) 834-0130
(505) 834-3080
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
00002194
NM
Other
Enumeration date
02/02/2007
Last updated
07/21/2022
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