Individual
KASHA K JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 HASLER VALLEY RD, GALLUP, NM 87301
(505) 413-3447
Mailing address
PO BOX 1728, GALLUP, NM 87305-1728
(505) 862-1219
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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