HARRISON JIM

GANADO, AZ
NPI1366285629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-06-14
Last Update Date2024-06-14
Business Address
HARRISON JIM THP
PO BOX 457
GANADO, AZ 86505-0457
Phone number: 928-755-4586
Mailing Address
HARRISON JIM THP
PO BOX 457
GANADO, AZ 86505-0457
Phone number: 928-755-4586