Search › New Mexico › 1041S0200X
Kayla Jack
NPI 1093498578 · on the registry since 2023 · sole proprietor
Practice
- Address
- Us 491
Shiprock, NM 87420 - Phone
- (505) 419-0294
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico