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NPI Code Detail

MEDICARE: JACQUELINE VILLALOBOS N.D.

MEDICARE: JACQUELINE VILLALOBOS N.D.
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
1175F00000XNaturopath1063OR
2175F00000XNaturopathND-0002NM

General Provider Information

NPI Number : 1598710824
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE VILLALOBOS N.D.
Provider Business Mailing Address
First Line : 330 N CAMPO ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3433
Country : US
Telephone Number : 575-915-5808
Fax Number : 575-215-5523
Provider Business Practice Location Address
First Line : 330 N CAMPO ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3433
Country : US
Telephone Number : 575-915-5808
Fax Number : 575-215-5523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 09/29/2020

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Directions to “ JACQUELINE VILLALOBOS N.D.” Practice Location

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