Johnhat, Jalisa
Johnhat, Jalisa is an individual health care provider with primary practice located at 2301 N Western Ave , Farmington NM 87401-3418. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Johnhat, Jalisa can be contacted via phone (505) 374-0345.Contact Information
Primary practice address
2301 N Western Ave
Farmington NM 87401-3418
Phone: (505) 374-0345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1962101733 |
|---|---|
| LBN Legal business name | Johnhat, Jalisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2023 |
| Last updated | Mar 1st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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