Individual
JESUS JAIME PAEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1894 CHAPARRAL LOOP, SOCORRO, NM 87801-3718
(575) 288-1672
Mailing address
904 E FAIRVIEW LN UNIT B, ESPANOLA, NM 87532-2806
(575) 800-4213
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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