Individual
JOTHAM IPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1182
Mailing address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1182
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-08872
NM
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
About Stedi
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