Individual
JACQUELYN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 E APACHE ST, FARMINGTON, NM 87401-6925
(505) 326-2012
Mailing address
30 COUNTY ROAD 5474, FARMINGTON, NM 87401-1449
(505) 258-5661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R37418
NM
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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