Individual
JENNIFER VANESSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 CARMEL AVE NE STE 601, ALBUQUERQUE, NM 87122-3125
(505) 677-8842
(505) 501-7451
Mailing address
7016 SILVER MOUNTAIN LOOP NE, RIO RANCHO, NM 87144-6726
(505) 206-6631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R56398
NM
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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