Individual
JESSICA MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
1605 CAMINO SOL, FARMINGTON, NM 87401-8060
(505) 401-4125
Mailing address
1605 CAMINO SOL, FARMINGTON, NM 87401-8060
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
1151
NM
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
07/31/2023
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