Individual
MRS. KERRILYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 N FIFTH ST, GALLUP, NM 87301-5306
(505) 863-3120
(505) 443-8344
Mailing address
610 N FIFTH ST, GALLUP, NM 87301-5306
(505) 868-2867
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/05/2024
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