Jacob White
NPI #1043804438 in Sunland Park, New Mexico
Provider Information
- NPI Number
- 1043804438
- Entity Type
- Individual
- Name
- Jacob White
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 25, 2021
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 3465 MCNUTT RD
- City
- Sunland Park
- State
- New Mexico
- ZIP Code
- 88063-9056
- Phone
- (575) 915-1338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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