Individual
JUAN JOSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANGER
Contact information
Practice address
2625 MCNUTT RD STE B, SUNLAND PARK, NM 88063-9608
(575) 589-6540
(575) 589-5864
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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