MS. Jean L Dutra, RPH
NPI #1124127501 in Mescalero, New Mexico
Provider Information
- NPI Number
- 1124127501
- Entity Type
- Individual
- Name
- MS. Jean L Dutra, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 318 ABALONE LOOP
- Address 2
- MESCALERO LUDIAN HOSPITAL
- City
- Mescalero
- State
- New Mexico
- ZIP Code
- 88340-0210
- Phone
- (505) 464-4441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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