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Organization
AJ'S PROFESSIONAL CONTRACTING
Active
Organization
AJ'S PROFESSIONAL CONTRACTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA M GUTIERREZ (OWNER)
(505) 453-5626
Entity
Organization
Contact information
Practice address
101 SAN LORENZO RD, VEGUITA, NM 87062
(505) 453-5626
Mailing address
PO BOX 405, 101 SAN LORENZO RD, VEGUITA, NM 87062
(505) 453-5626
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
383860
NM
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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