Organization
SAN JUAN WELLNESS SERVICES INC
Active
Other names
FIT4EVER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CROTTY (CEO)
(505) 564-7980
Entity
Organization
Contact information
Practice address
110 E APACHE ST, FARMINGTON, NM 87401-6902
(505) 564-7980
(505) 564-7956
Mailing address
110 E APACHE ST, FARMINGTON, NM 87401-6902
(505) 564-7980
(505) 564-7956
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
07/21/2015
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