Individual
NOEL OKASAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 W GRAND AVE, ARTESIA, NM 88210-1937
(518) 260-0724
Mailing address
3302 W RICHEY AVE, ARTESIA, NM 88210-9448
(575) 365-6317
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
NM
175T00000X
Peer Specialist
Primary
1443
NM
175T00000X
Peer Specialist
Primary
1982311890
NM
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740054352
BRIDGE INC
NM
Enumeration date
10/31/2022
Last updated
02/10/2026
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