Individual
CARLOS JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCSS,CSW
Contact information
Practice address
3402 BOX CANYON AVE, GALLUP, NM 87301-6903
(505) 879-2954
Mailing address
3402 BOX CANYON AVE, GALLUP, NM 87301-6903
(505) 879-2954
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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