JESSICA R CHYNOWETH

PUEBLO OF ISLETA

Dr JESSICA R CHYNOWETH is a female medical professional, specializing in Family Medicine. She graduated in 2003 from University Of New Mexico School Of Medicine.

Contact

PUEBLO OF ISLETA

01 SAGEBRUSH ST
ISLETA
NM
87022

Tel: 5058693200

JESSICA R CHYNOWETH Information

Npi 1083831051
Pac Id 5597953752
Professional Enrollment Id I20110103000861
Last Name CHYNOWETH
First Name JESSICA
Middle Name R
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PUEBLO OF ISLETA
Group Practice Pac Id 9739080631
Number Of Group Practice Members 8
Line 1 Street Address 01 SAGEBRUSH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ISLETA
State NM
Zip Code 87022
Phone Number 5058693200
Hospital Affiliation Ccn 1 320017
Hospital Affiliation Lbn 1 LOVELACE WOMEN'S HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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