DENISE LEANN MYRICK

JAL, NM
NPI1922719590
Professional NameDENISE L. TEAGUE MYRICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  DH2377)
Enumeration Date2022-12-05
Last Update Date2022-12-05
Business Address
Mrs. DENISE LEANN MYRICK RDH
423 S 3RD ST
JAL, NM 88252-5024
Phone number: 575-395-2205
Mailing Address
Mrs. DENISE LEANN MYRICK RDH
PO BOX Z
JAL, NM 88252-2525
Phone number: 575-395-2205