Individual
AMOS JONAS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCSS
Contact information
Practice address
902 E FAIRVIEW LN, ESPANOLA, NM 87532-2822
(575) 517-7846
Mailing address
902 E FAIRVIEW LN, ESPANOLA, NM 87532-2822
(575) 517-7846
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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