Individual
JACK SULLIVAN TURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
999 W AMADOR AVE, LAS CRUCES, NM 88005-2739
(575) 527-5482
(575) 652-4243
Mailing address
PO BOX 2243, LAS CRUCES, NM 88004-2243
(575) 527-5482
(575) 652-4243
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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