Individual
MS. JENNIFER REBECCA SQUYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 MAIN ST NE STE C&D, LOS LUNAS, NM 87031-7097
(505) 565-1761
Mailing address
707 BROADWAY BLVD NE STE 401, ALBUQUERQUE, NM 87102-2366
(505) 342-5488
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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