Jeannetta Boyden

NPI 1417194556 · on the registry since 2009

Practice

Address: 513 Becker Ave
Belen, NM 87002
Phone: (505) 864-3202
Fax: (505) 864-8138
Organisation at this address: Valencia Shelter For Victims Of Domestic Violence
Valencia Shelter For Victims Of Domestic Violence
Valencia Shelter For Victims Of Domestic Violence
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico