IndividualActive
Jessica Jim
NPI 1235660143 · Other Technician · Las Cruces, NM
Provider details
- NPI number
- 1235660143
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PM000110 (NM)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
920 N Alameda Blvd
Ste 2
Las Cruces, NM 88005-2291
Phone: (575) 636-8406
Approximate (ZIP-level) locationGet directions
Mailing address
920 N Alameda Blvd
Las Cruces, NM 88005-2291
Registry dates
- Enumerated
- 2017-03-22
- Last updated
- 2017-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.