NPI 1235660143

Jessica Jim

Practitioner Other Technician Las Cruces, NM

Practice location

Address: 920 N Alameda Blvd STE 2, Las Cruces, NM 88005-2291
Phone: (575) 636-8406

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence PM000110 (NM)

Other Technician, Other providers in New Mexico →

Registry record

NPI: 1235660143
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2017
Record last updated: 22 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.