Jonathan Redd
NPI #1366918963 in Portales, New Mexico
Provider Information
- NPI Number
- 1366918963
- Entity Type
- Individual
- Name
- Jonathan Redd
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 22, 2018
- Last Updated
- Oct 22, 2018
Practice Location
- Address
- 1515 W FIR ST
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-5703
- Phone
- (575) 356-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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