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NPI Code Detail

MEDICARE: MRS. JAZZELLE MONROE GIRARD

MEDICARE: MRS. JAZZELLE MONROE GIRARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1578980363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAZZELLE MONROE GIRARD
Provider Business Mailing Address
First Line : 3301 CANDELARIA RD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-1965
Country : US
Telephone Number : 505-519-9846
Fax Number :
Provider Business Practice Location Address
First Line : 3301 CANDELARIA RD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-1965
Country : US
Telephone Number : 505-519-9846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2014
Last Update Date : 09/15/2023

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Directions to “ MRS. JAZZELLE MONROE GIRARD ” Practice Location

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