Individual
JEREMY MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
(575) 769-9013
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
(575) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
53940
NM
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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