Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X |
| NPI # | 1962552372 |
| LBN Legal business name | SAN JUAN BASIN HEALTH DEPARTMENT |
| Authorized official | LIANE JOLLON - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 01/11/2007 |
| Last updated | 09/22/2014 - About 12 years ago |
| Identifiers | n/a |
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