JONATHAN INGRAM

FARMINGTON, NM
NPI1275360190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies172V00000X Community Health Worker
(Licence: NM  0913224)
Enumeration Date2024-09-16
Last Update Date2026-05-18
Business Address
JONATHAN INGRAM CSW
653 W ARRINGTON ST
FARMINGTON, NM 87401-8513
Phone number: 505-564-3733
Mailing Address
JONATHAN INGRAM CSW
653 W ARRINGTON ST
FARMINGTON, NM 87401-8513
Phone number:
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