Organization
ROCKIN J REAWAKENINGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS ALAN BUTLER (DIRECTOR)
(505) 409-7764
Entity
Organization
Contact information
Practice address
234 COUNTY ROAD 19, PREWITT, NM 87045-8704
(505) 409-7764
Mailing address
PO BOX 555, PREWITT, NM 87045-0555
(505) 577-2356
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
05/09/2019
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