Individual
JORDAN D RHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E 38TH ST, FARMINGTON, NM 87401-4116
(303) 943-3893
Mailing address
228 ROAD 4800, BLOOMFIELD, NM 87413-9203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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