Individual
DR. JETT NYMANN DELACRUZ PARAOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Contact information
Practice address
US-491, SHIPROCK, NM 87420-8742
(505) 368-7250
Mailing address
905 N TUCKER AVE APT 4, FARMINGTON, NM 87401-7566
(240) 441-2599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214586
VA
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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