Individual provider · Type 1 NPI

Jennifer Rebecca Squyres

Student in an Organized Health Care Education/Training Program · Los Lunas, NM

NPI number 1992266274 Active

Practice location

2112 Main St NE Ste C&d
Los Lunas, NM 87031-7097

Mailing address

707 Broadway Blvd NE Ste 401
Albuquerque, NM 87102-2366

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992266274

Jennifer Rebecca Squyres's National Provider Identifier is 1992266274, issued on Mar 28, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Lunas, NM. The record was last updated on Mar 28, 2019.