Dutra, Jean L
Dutra, Jean L is an individual health care provider with primary practice located at 318 Abalone Loop Mescalero Ludian Hospital, Mescalero NM 88340-0210. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dutra, Jean L can be contacted via phone (505) 464-4441.Contact Information
Primary practice address
318 Abalone Loop Mescalero Ludian Hospital
Mescalero NM 88340-0210
Phone: (505) 464-4441
Fax: (505) 464-4422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 029534 | Missouri |
| Pharmacy Service Providers / Pharmacist | 183500000X | 4480 | New Mexico |
Profile Details
| NPI number | 1124127501 |
|---|---|
| LBN Legal business name | Dutra, Jean L |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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