About Mrs. La Juana Dell Willis
She is located at 600 Gallegos, Phs Provider Enrollment, in Logan, NM 88426. Appointment can be made via the phone number (575) 487-9000.
Mrs. La Juana Dell Willis - Address, Phone & Website
600 Gallegos, Phs Provider Enrollment, Logan, NM 88426
(575) 487-9000
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Nurse Practitioner | 363L00000X |
| No | Family Nurse Practitioner | 363LF0000X |
Licenses
| State | License Number |
|---|---|
| New Mexico | CNP00145 |
| New Mexico | R14626 |