Rockin J Reawakenings, INC
NPI #1497318976 in Prewitt, New Mexico
Provider Information
- NPI Number
- 1497318976
- Entity Type
- Organization
- Organization Name
- Rockin J Reawakenings, INC
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Apr 19, 2019
- Last Updated
- May 9, 2019
Practice Location
- Address
- 234 COUNTY ROAD 19
- City
- Prewitt
- State
- New Mexico
- ZIP Code
- 87045-8704
- Phone
- (505) 409-7764
Authorized Official
- Name
- JESS ALAN BUTLER
- Title
- DIRECTOR
- Phone
- (505) 409-7764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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