JENA LEE LOVE

RATON, NM
NPI1801312012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  C-6214)
Enumeration Date2017-08-18
Last Update Date2017-08-18
Business Address
JENA LEE LOVE
1535 TIGER CIR
RATON, NM 87740-4300
Phone number: 505-445-9111
Mailing Address
JENA LEE LOVE
PO BOX 493
RATON, NM 87740-0493
Phone number:
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