JACOB KUALAPAI

LOS RANCHOS, NM
NPI1467007427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  DH2912)
Enumeration Date2019-08-07
Last Update Date2019-08-07
Business Address
JACOB KUALAPAI RDH, CDHC
1776 MONTANO RD NW
LOS RANCHOS, NM 87107-3245
Phone number: 505-615-0951
Mailing Address
JACOB KUALAPAI RDH, CDHC
1080 SAND DUNE RD NE
RIO RANCHO, NM 87144-8051
Phone number: 505-503-3544