Harrison Jim, THP Valid NPI
Individual provider · Community Health Worker · Ganado, AZ
- NPI
- 1366285629
- Type
- Individual (Type 1)
- Primary specialty
- Community Health Worker
- Specialty group
- Other Service Providers
- Taxonomy code
- 172V00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-06-14
- Last updated
- 2024-06-14
Practice location
Po Box 457
Ganado, AZ 86505-0457
(928) 755-4586