NPI
Mariah Kayla Jake
NPI 1629904198
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2026-06-22
- Last updated
- 2026-07-16
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Specialties
Licenses
- License NM
- Number not in the file
Location
- Practice location
- 67 Tribal Road N7071 Unit 3414
- City
- Tohajiilee NM
- Postal code
- 87026-5115
- Phone
- (505) 373-7278
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Tohajiilee, NM. 17 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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