Organization
FELIPITA C. JACKS
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELIPITA C JACKS CHW SPECIALIST 2 (OWNER, CHW SP. 2)
(505) 319-9591
Entity
Organization
Contact information
Practice address
319 LOS PINOS RD, BERNALILLO, NM 87004-6505
(505) 319-9591
Mailing address
319 LOS PINOS RD, BERNALILLO, NM 87004-6505
(505) 319-9591
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/09/2024
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