Individual provider · NPI-1

Jessica H Barrera

Student in an Organized Health Care Education/Training Program · Las Cruces, NM

NPI number1144749052

StatusActive

Last updated in NPPESSep 12, 2017

Details

NPI: 1144749052
Entity type: Individual (NPI-1)
Name: Jessica H Barrera
Sex: Female
Sole proprietor: No
Enumeration date: Sep 12, 2017
Last updated: Sep 12, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes
2255A2300X	Specialist/Technologist, Athletic Trainer	–	–

Practice location

1780 E University Ave
Las Cruces, NM 88003-1229

Phone 575-703-1517

Mailing address

1000 Oklahoma Ave
Lake Arthur, NM 88253

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