Individual
CASSANDRA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
114 W 11TH ST, SILVER CITY, NM 88061-5136
(575) 597-2745
Mailing address
114 W 11TH ST, SILVER CITY, NM 88061-5136
(575) 597-2745
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1438
NM
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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