RYAN R JIM

FARMINGTON, NM
NPI1407496979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-01-13
Last Update Date2020-01-13
Business Address
RYAN R JIM
607 E APACHE ST
FARMINGTON, NM 87401-6925
Phone number: 505-326-2012
Mailing Address
RYAN R JIM
607 E APACHE ST
FARMINGTON, NM 87401-6925
Phone number: 505-326-2012
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