Provider Demographics
NPI:1144878356
Name:SNAPP, HELEN LOUISE
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:LOUISE
Last Name:SNAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 244
Mailing Address - Street 2:1003 EAST MAIN AVE
Mailing Address - City:SAN JON
Mailing Address - State:NM
Mailing Address - Zip Code:88434-0244
Mailing Address - Country:US
Mailing Address - Phone:575-708-0837
Mailing Address - Fax:
Practice Address - Street 1:1003 EAST MAIN AVE
Practice Address - Street 2:
Practice Address - City:SAN JON
Practice Address - State:NM
Practice Address - Zip Code:88434-0244
Practice Address - Country:US
Practice Address - Phone:575-708-0837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider