John Funk's National Provider Identifier (NPI) Details
John Funk, LISW
NPI: 1114110954
Enumeration Date: 2007-08-24
Last updated: 2007-08-24
Sole Proprietor: YES
Status: active
Postal Address: 410 N ARMIJO ST, APT. 2, LAS CRUCES, NM
Phone: 505-650-1111
Primary Practice Address: 410 N ARMIJO ST, APT. 2, LAS CRUCES, NM
Practice's phone: 505-650-1111