Provider Demographics
NPI:1396925764
Name:HARRINGTON, JANE CLEMENT (JANE C HARRINGTON)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:CLEMENT
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:JANE C HARRINGTON
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:CLEMENT
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:JANE HARRINGTON, MA
Mailing Address - Street 1:3405 AVENIDA CURVATURA NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-2633
Mailing Address - Country:US
Mailing Address - Phone:505-341-0666
Mailing Address - Fax:
Practice Address - Street 1:3405 AVENIDA CURVATURA NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-2633
Practice Address - Country:US
Practice Address - Phone:505-341-0666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist