JACOB WHITE

SUNLAND PARK, NM
NPI1043804438
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-02-25
Last Update Date2021-02-25
Business Address
JACOB WHITE
3465 MCNUTT RD
SUNLAND PARK, NM 88063-9056
Phone number: 575-915-1338
Mailing Address
JACOB WHITE
3465 MCNUTT RD
SUNLAND PARK, NM 88063-9056
Phone number: 575-915-1338
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