Individual
JESUS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
948 CAMINO DE LA TIERRA, CORRALES, NM 87048-6909
(505) 352-4674
Mailing address
948 CAMINO DE LA TIERRA, CORRALES, NM 87048-6909
(505) 352-4674
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
04/30/2025
Last updated
07/07/2025
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