Individual
JAMIE SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
411 S 3RD ST, RATON, NM 87740-4005
(575) 733-0003
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(575) 733-0003
(575) 733-0004
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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