| Ms Jean L Dutra, RPH | |
|
318 Abalone Loop, Mescalero Ludian Hospital, Mescalero, NM 88340-0210 | |
| (505) 464-4441 | |
| (505) 464-4422 |
| Full Name | Ms Jean L Dutra |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 318 Abalone Loop, Mescalero, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124127501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 029534 (Missouri) | Secondary |
| 183500000X | Pharmacist | 4480 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jean L Dutra, RPH 3727 Driftwood Ave, Alamogordo, NM 88310-3727 Ph: (505) 437-6162 | Ms Jean L Dutra, RPH 318 Abalone Loop, Mescalero Ludian Hospital, Mescalero, NM 88340-0210 Ph: (505) 464-4441 |
Marjorie Hogue, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 308 Abalone Loop, Mescalero, NM 88340 Phone: 575-464-4441 | |
Jiali He, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 318 Abalone Loop, Mescalero, NM 88340 Phone: 575-464-3844 | |
Michelle Lin, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 318 Abalone Loop, Mescalero, NM 88340 Phone: 575-464-3890 | |
Mr. John Lawrence Sickman, PHARM. D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 318 Abalone Loop, Mescalero, NM 88340 Phone: 575-464-3843 Fax: 575-464-9198 |