| NPI | 1528710019 |
|---|---|
| Doing Business As | SAN JUAN COUNTY HOME VISITING PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |