Individual
JENA LEE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 TIGER CIR, RATON, NM 87740-4300
(505) 445-9111
Mailing address
PO BOX 493, RATON, NM 87740-0493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-6214
NM
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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