Individual
THERESA J JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 622-8170
Mailing address
405 W COUNTRY CLUB RD, C/O MSO ADMINISTRATION, ROSWELL, NM 88201-5209
(575) 622-8170
(575) 624-8711
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R41752
NM
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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