Individual
JUANITA CACHUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 W APACHE ST, FARMINGTON, NM 87401-5527
(505) 325-5358
Mailing address
807 W APACHE ST, FARMINGTON, NM 87401-5527
(505) 325-5358
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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