Organization
SHEKINAH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ARTHUR ANAYA MA (CEO)
(575) 578-9450
Entity
Organization
Contact information
Practice address
3001 S WYOMING AVE, ROSWELL, NM 88203-2326
(575) 578-9450
Mailing address
3001 S WYOMING AVE, ROSWELL, NM 88203-2326
(575) 578-9450
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
06/08/2013
Last updated
06/08/2013
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