Randles, Jaylyn Denise

Randles, Jaylyn Denise is an sole proprietor health care provider with primary practice located at 2111 College Dr , Gallup NM 87301-5600. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Randles, Jaylyn Denise can be contacted via phone (505) 879-5655.

Contact Information

Primary practice address
2111 College Dr Gallup NM 87301-5600
Phone: (505) 879-5655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 1456 New Mexico

Profile Details

NPI number 1962269118
LBN Legal business name Randles, Jaylyn Denise
Credentials CPSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - 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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