Individual
JOHNNY PERRY JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 CALLE DE LA MERCED STE H, ESPANOLA, NM 87532-2630
(505) 747-0081
(505) 747-0083
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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