Individual
MS. JESSICA JIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 N ALAMEDA BLVD, STE 2, LAS CRUCES, NM 88005-2291
(575) 636-8406
Mailing address
920 N ALAMEDA BLVD, STE 2, LAS CRUCES, NM 88005-2291
(575) 636-8406
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PM000110
NM
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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