Individual
JANEEN M SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
1379 N MAIN ST, WALDRON, AR 72958-7697
(479) 227-8753
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R094294
AR
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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