Search › Colorado › 124Q00000X
Jacie Homm
NPI 1710142112 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2322 San Juan Ave
La Junta, CO 81050 - Phone
- (719) 383-3939
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-24
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 Colorado